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Neuroscience-Based Cognitive Therapy
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Table of Contents

Foreword by Arthur Freeman xiii Preface xix Acknowledgments xxi List of Abbreviations xxiii Introduction 1 Part I Neuroscience in Context 1 Neuroscience, Clinical Psychology, and Cognitive Therapy 5 2 The Mind?Brain Problem 11 3 Motor Theories of Mind and a Complex Biocybernetic Model in Neuroscience 20 4 Complexity, Chaos, and Dynamical Systems 27 4.1 Introduction 27 4.2 Complexity 27 4.3 Chaos Theory 29 4.4 Complex Systems 30 4.5 From Complexity to a Neuroscience-based Cognitive Therapy 32 5 Modular and Gradiental Brain, Coalitional Mind 35 5.1 Introduction 35 5.2 The Modular and Gradiental Brain 37 5.3 The Social Brain 41 5.4 The Central Nervous System, Neurovegetative Nervous System, and Visceral Brain 44 5.4.1 The Neurovegetative Nervous System 44 5.4.2 The Visceral Brain 46 5.5 Paleognosis and Neognosis in theMind of Homo sapiens 47 5.6 Memory 48 5.7 Internal Representational Systems 51 5.7.1 Imagery 52 5.7.2 Internal Dialog 54 5.8 Knowledge Processes 54 5.8.1 Introduction 54 5.8.2 The Unconscious and Tacit Dimension 55 5.8.3 Information Coding in the Human Brain 57 5.8.4 Tacit Knowledge: Experiencing 59 5.8.5 Explicit Knowledge: Explaining 59 5.8.6 Procedural Knowledge: Acting 60 5.8.7 Social or Machiavellian Intelligence: Relating 61 5.9 Coalitional Processes 62 5.9.1 The Self 62 5.9.2 Personal Identity 66 5.9.3 Narrative 67 6 Phylogenesis of the Brain and Ontogenesis of the Mind: Biological and Cultural Evolutionism 70 6.1 The Reptilian Brain: The Archipallium 76 6.2 The Limbic System: The Paleopallium 76 6.3 Brain Structures of Less Evolved Mammals: The Neopallium 77 6.4 Specialized Frontal Lobes 77 Part II Clinical Psychophysiology and its Parameters 7 Psychophysiology and Clinical Psychophysiology 83 8 Electroencephalography and Quantitative Electroencephalography 86 8.1 Electroencephalography 86 8.1.1 Frequency 87 8.1.2 Amplitude 88 8.1.3 Morphology 89 8.1.4 Symmetry 89 8.1.5 Coherence 89 8.1.6 Artifacts 90 8.2 Quantitative Electroencephalography 91 8.2.1 Technical and Methodological Aspects 92 9 Electrodermal Activity and Quantitative Electrodermal Activity 96 9.1 Electrodermal Activity and its Recording 96 9.2 Computer-Aided Analysis of Electrodermal Activity and Quantitative Electrodermal Activity 103 9.3 Reference Database 107 9.4 Evoked Electrodermal Responses 111 9.5 Effects of Psychoactive Drugs on Electrodermal Activity 111 9.5.1 Beta-Blockers 112 9.5.2 Benzodiazepines 113 9.5.3 Neuroleptics 114 9.5.4 Antidepressants 115 9.5.5 Anti-Epileptic Drugs, or ?Mood Stabilizers? 115 10 Complex Psychological Diagnosis and Instrumental Psychodiagnostics 116 10.1 Introduction 116 10.2 Functional Diagnosis 118 10.3 Instrumental Psychodiagnostics 120 10.4 The Contribution of Neuroscience to a Complex Diagnosis 120 Part III Neuroscience-basedMethods in the Clinical Setting 11 Complex Psychological Diagnosis with Quantitative Electroencephalography 125 11.1 Introduction 125 11.2 Dementia 126 11.2.1 Materials 126 11.2.2 Method 127 11.2.3 Results 128 11.3 Schizophrenia 129 11.4 Depression 132 11.5 Mania 133 11.6 Attention Deficit Hyperactivity Disorder 133 11.7 Obsessive-Compulsive Disorder 133 12 Complex Psychological Diagnosis with Quantitative Electrodermal Activity 135 12.1 General Aspects 135 12.1.1 Setting 135 12.1.2 Advising the Patient 136 12.1.3 Testing 136 12.1.4 Assessing and Reviewing Results with the Patient 137 12.1.5 Planning Treatment 137 12.1.6 Use of Recorded Data for Constructing a Narrative on the Self-Regulation Process 139 12.2 Data Regarding Specific Clinical Disorders 139 12.2.1 Generalized Anxiety Disorder 139 12.2.2 Panic Attack Disorder 140 12.2.3 Post-Traumatic Stress Disorder 140 12.2.4 Phobias 140 12.2.5 Obsessive-Compulsive Disorder 140 12.2.6 Depression 140 12.2.7 Eating Disorders 141 12.2.8 Addictions 141 12.2.9 Schizophrenia 141 12.2.10 Mania 141 12.2.11 Attention Deficit Hyperactivity Disorder 141 12.2.12 Stuttering 142 12.2.13 Hypertension 142 12.2.14 Irritable Bowel Syndrome 143 12.2.15 Premenstrual Syndrome 143 12.2.16 Psychogenic Impotence 143 13 Sets and Settings when Applying a Neuroscience-based Clinical Methodology 145 14 Multimodal Assessment of Family Process and the ?Family Strange Situation? 152 14.1 The Family Strange Situation Procedure 154 15 Biofeedback, Neurofeedback, and Psychofeedback 156 15.1 Theoretical Foundation and Historical Development 156 15.2 Physiological and Psychophysiological Biofeedback 163 15.3 Biofeedback and Cognitive Therapy 165 15.4 MindLAB Set-based Coping Skills Training 168 15.5 Relaxation, Self-Control, Self-Regulation 168 16 Meditation, Mindfulness, and Biofeedback-based Mindfulness (BBM) 171 16.1 Meditation 171 16.1.1 Types of Meditation 171 16.2 Mindfulness 175 16.3 Biofeedback-Based Mindfulness 177 17 Neurofeedback and Cognitive Therapy 180 17.1 Insomnia 180 17.2 Obsessive-Compulsive Disorder 183 17.3 Attention Deficit Hyperactivity Disorder 186 17.4 Depression 187 17.5 Mania 187 17.6 Drug Dependency 187 18 Psychofeedback and Cognitive Therapy 189 18.1 Mental Disorders 190 18.1.1 Panic Attack Disorder with or without Agoraphobia: Dedalo Protocol 190 18.1.2 Obsessive-Compulsive Disorder: Sisifo Protocol 190 18.1.3 Mood Disorders: Galatea and Eolo Protocols 191 18.1.4 Substance Addiction-Related Disorders: Baccheia Protocols 191 18.1.5 Eating Disorders: Fineo and Tantalo Protocols 191 18.1.6 Personality Disorders: Polifemo Protocol 191 18.1.7 Schizophrenia: Negative Entropy Protocol 191 18.1.8 Attention Deficit Hyperactivity Disorder 192 18.1.9 Stuttering 192 18.2 Psychosomatic Disorders 192 18.3 Meditation, Mindfulness, Music Therapy 193 19 Monitoring theWarning Signs of Relapse in Schizophrenia and Bipolar Disorder, and Coping with Them 194 19.1 Introduction 194 19.2 Schizophrenia 194 19.3 Bipolar Disorder 196 19.4 Coping with Prodromal Symptoms of Relapse in Psychosis 196 20 Get Started with Neuroscience-based Cognitive Therapy 197 References 199 Index 217

About the Author

Professor Tullio Scrimali is a pioneer of clinicalpsychophysiology and cognitive therapy, recognized for hiscontribution to the discipline worldwide. He was a founding fellowof the Academy of Cognitive Therapy (ACT), and obtained the firstChair of Cognitive Therapyat the University of Catania, Sicily,where he currently directs the European School of Cognitive Therapy(ALETEIA International).

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