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Journal of the American Psychoanalytic Association, Vol. 50, No. 1, 53-98 (2002)
DOI: 10.1177/00030651020500011501
© 2002 American Psychoanalytic Association

Developments in Cognitive Neuroscience

I. Conflict, Compromise, and Connectionism

Drew Westen

Department of Psychology, and Adolescent and Adult Personality Programs, Center for Anxiety and Related Disorders, Boston University, Center for Anxiety and Related Disorders Department of Psychology Boston University 648 Beacon Street, 6th floor Boston, MA 02215, Dwesten{at}bu.edu

Glen O. Gabbard

Houston/Galveston Psychoanalytic Institute, and Baylor College of Medicine, Department of Psychiatry Baylor College of Medicine One Baylor Plaza Houston, TX 77030

Drew Westen

Department of Psychology, and Adolescent and Adult Personality Programs, Center for Anxiety and Related Disorders, Boston University, Center for Anxiety and Related Disorders Department of Psychology Boston University 648 Beacon Street, 6th floor Boston, MA 02215, Dwesten{at}bu.edu

Glen O. Gabbard

Houston/Galveston Psychoanalytic Institute, and Baylor College of Medicine, Ggabbard12{at}aol.com, Department of Psychiatry Baylor College of Medicine One Baylor Plaza Houston, TX 77030

The strength of psychoanalysis has always been its understanding of affect and motivation. Contemporary developments in cognitive neuroscience offer possibilities of integrating sophisticated, experimentally informed models of thought and memory with an understanding of dynamically and clinically meaningful processes. Aspects of contemporary theory and research in cognitive neuroscience are integrated with psychoanalytic theory and technique, particularly theories of conflict and compromise. After a description of evolving models of the mind in cognitive neuroscience, several issues relevant to psychoanalytic theory and practice are addressed. These include the nature of representations, the interaction of cognition and affect, and the mechanisms by which the mind unconsciously forges compromise solutions that best fit multiple cognitive and affective-motivational constraints.


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