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Psychoanalysis and Functional Magnetic Resonance Imaging: a Systematic Review

Published online by Cambridge University Press:  15 April 2020

S. Marini ,
E. Cinosi ,
M. Lupi ,
T. Acciavatti ,
M. Corbo ,
L. Di Tizio ,
S. Dezi  and
M. Di Giannantonio
S. Marini
Affiliation:
Imaging and Neuroscience, Università G. d'Annunzio, Chieti, Italy
E. Cinosi
Affiliation:
Imaging and Neuroscience, Università G. d'Annunzio, Chieti, Italy
M. Lupi
Affiliation:
Imaging and Neuroscience, Università G. d'Annunzio, Chieti, Italy
T. Acciavatti
Affiliation:
Imaging and Neuroscience, Università G. d'Annunzio, Chieti, Italy
M. Corbo
Affiliation:
Imaging and Neuroscience, Università G. d'Annunzio, Chieti, Italy
L. Di Tizio
Affiliation:
Imaging and Neuroscience, Università G. d'Annunzio, Chieti, Italy
S. Dezi
Affiliation:
Imaging and Neuroscience, Università G. d'Annunzio, Chieti, Italy
M. Di Giannantonio
Affiliation:
Imaging and Neuroscience, Università G. d'Annunzio, Chieti, Italy

Abstract

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Purpose of the Study

In the last ten years it has sought a connection between the psychoanalysis and the neuroscience. The meeting point between these two branches is the neuropsychoanalysis [1].

Methods

A literature search was conducted on March 2014. PubMed and Scopus databases were used to find studies for inclusion in the systematic review. The keywords used for the literature search were: ‘psychoanalysis”, ‘psychoanalytic psychotherapy”, ‘psychodynamic”, ‘psychodynamic psychotherapy”, ‘fmri”, ‘functional neuroimaging” and ‘functional magnetic resonance”. keywords were used together with the logical operator ‘and”. Only studies wich compared functional magnetic resonance imaging results before and after psychoanalytic psychotherapy in adult subjects were taken into account. Two (n=2) potentially relevant studies were obtained for the systematic review.

AUTHORSCANNERPARTICIPANTSTYPE OF THERAPYMAIN FINDINGS
Buchheim et al. 20133.0 TeslaA female dysthymic patient with narcissistic traitsStandard long-term psychoanalysis with a frequency of two face-to-face sessions per week.The results show the therapy hours modulated the attivaction of the ventrolateral and the dorsolateral prefrontal cortex, the perigenual portion of the medial prefrontal cortex, the posterior cingulate and precuneus, the middle temporal gyrus, and the anterior tip of the inferior temporal gyrus, and the occipital/calcarine cortex.
Fischmann et al. 20133.0 Tesla16 patients with recurrent major depressive disorders and 18 healthy volunteers3-year psychoanalytic treatmentAfter treatment, it was found a marked reduction in activation pattern occipital, left and right hippocampus, left and right thalamus, left precuneus, left middle cingulated cortex, left inferior frontal gyrus/pars orbitalis, left precentral gyrus, vermis, left inferior frontal gyrus, right middle temporal gyrus, superior parietal lobule, cerebellum, and right and left putamen.

Summary

As shown in the table, Buchheim et al. study results demostrate that the therapy hours modulated the attivaction of brain areas. After treatment, Fischmann et al. found a marked reduction in activation pattern.

Conlcusions

The common results of the studies investigated in this systematic review is represented by a reduction, a modulation or a normalization of the activation areas before and after the psychoanalytic psychotherapy.

Type
Article: 0332
Information
European Psychiatry , Volume 30 , Issue S1: Abstracts of the 23rd European Congress of Psychiatry , March 2015 , pp. 1
Copyright
Copyright © European Psychiatric Association 2015
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