Zusammenfassung
Die psychischen und neuronalen Mechanismen, die der depressiven Symptomatik zugrunde liegen, werden in einer neuropsychodynamischen Perspektive dargestellt. Die depressive Hemmung wird in einen Zusammenhang gestellt mit den Prinzipien der neuronalen Integration (reziproke Modulation, Modulation durch funktionelle Einheit, Top-down-Modulation und Modulation durch Umkehr). Es wird angenommen, dass es sich hierbei um die neurophysiologischen Korrelate der Abwehr- und Bewältigungsmechanismen (insbesondere der Somatisierung, der Introjektion und sensorimotorischen Regression) handelt. Auf der Grundlage dieser neuropsychodynamischen Theorie lassen sich Depressionen als Psychosomatosen der Emotionsregulation auffassen.
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