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<p>Psychiatry and psychotherapy use different levels of description: diagnosis, symptoms, subjective experience, relationships, learning, neurobiology and pharmacology. These levels are clinically necessary but often remain insufficiently connected. Neuropsychoanalysis may serve as a&#xa0;clinical bridging language here. It does not replace ICD or DSM diagnosis or established psychotherapeutic approaches, but offers a&#xa0;framework in which affect, body, relationship experience, expectation and neurobiological regulation can be considered together. This article outlines three central pillars of this approach: primary emotional systems, affective consciousness and the brain as an organ of expectation. In addition, memory reconsolidation is introduced as one possible mechanism of sustained change. An anonymised case study illustrates how therapeutic work may be understood as the safe activation and correction of old expectation patterns.</p>

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Neuropsychoanalyse als klinische Brückensprache

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年6月16日

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  • Arif de Mendelssohn,
  • Georg Fodor,
  • Henriette Löffler-Stastka

摘要

Psychiatry and psychotherapy use different levels of description: diagnosis, symptoms, subjective experience, relationships, learning, neurobiology and pharmacology. These levels are clinically necessary but often remain insufficiently connected. Neuropsychoanalysis may serve as a clinical bridging language here. It does not replace ICD or DSM diagnosis or established psychotherapeutic approaches, but offers a framework in which affect, body, relationship experience, expectation and neurobiological regulation can be considered together. This article outlines three central pillars of this approach: primary emotional systems, affective consciousness and the brain as an organ of expectation. In addition, memory reconsolidation is introduced as one possible mechanism of sustained change. An anonymised case study illustrates how therapeutic work may be understood as the safe activation and correction of old expectation patterns.