Monday, December 1, 2025

Neuropsychoanalytic Diagnosis ( Part 2 )

These internal  conflicts and/or external traumas experienced during your childhood developmental stages have led to your painful symptoms of anxiety, depression, rage, etc.......Neuropsychoanalysis teaches that these unpleasant feelings result from faulty, unconscious, repressed, childhood predictions (ego compromises/solutions) that failed to adequately resolve your  childhood conflicts/trauma...........Ego defenses are then required to ward off these unpleasant feelings.  There are three levels of defenses that are utilized in the three levels of disorders:  Neurotic defenses, narcissistic/borderline defenses,  and psychotic defenses. The higher level neurotic defenses are more likely to succeed in defending against the unpleasant feelings than are the  narcissistic/borderline ones. And the narcissistic/borderline defenses are more successful at defending against bad feelings than are the psychotic ones. ....... When any of these three levels of defenses fail, you experience the "return of the repressed" in the form of the troubled  feelings returning to consciousness. These troublesome feelings are the symptoms that first brought you to treatment...... These symptoms are grouped together in the various diagnoses of anxiety disorders, depressive disorders etc., of the DSM. Neuropsychoanalytic  diagnosis, however,  sees these unpleasant feelings/symptoms as the result of unmet basic emotional needs/drives (id), which result from the faulty, unconscious, repressed, childhood predictions ( ego) mentioned above. It is the assessment  of these faulty predictions  that is key in neuropsychoanalytic diagnosis. The reason being is that these  faulty  predictions  are why you  cannot successfully  meet  your basic emotional needs/drives. And the  inability to meet your  basic emotional needs/drives  is what is causing your suffering/psychopathology/mental illness. Changing the faulty, unworkable predictions (ego) to healthy, workable ones is the  goal of neuropsychoanalytic  psychotherapy. The result of these changes will be that you will indeed be able now to adequately meet ( ego)  your seven basic emotional  needs/drives (id).  Thus your suffering/emotional illness will end and you will go forward to lead an emotionally healthy life. 

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