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Updated: Oct 3, 2025

Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression
Published on: April 26, 2024
Minds and Brains, Sleep and Psychiatry
J Allan Hobson1, Jarrod A Gott2, Karl J Friston3
1Division of Sleep Medicine Harvard Medical School Boston Massachusetts.
Dual aspect monism offers a new framework for understanding psychiatric disorders by linking mind and brain processes. This approach connects aberrant belief updating and synaptic dysfunction to psychopathology, suggesting novel therapeutic targets.
Area of Science:
- Neuroscience
- Psychiatry
- Philosophy of Mind
Background:
- The mind and brain are viewed as emergent aspects of the same neuronal dynamics, termed the brain-mind.
- Sleep research provides insights into the integration of dreaming phenomenology and neurophysiology.
Purpose of the Study:
- To explore the applicability of dual aspect monism to psychiatric pathophysiology and psychopathology.
- To propose a philosophical thesis for psychiatric disorders grounded in mind-brain truths.
Main Methods:
- Starting with the brain-mind as emergent neuronal dynamics.
- Treating the brain as an organ of inference, focusing on precision and uncertainty in belief updating.
- Integrating sleep research findings on dreaming and neurophysiology.
Main Results:
- Synaptic dysconnection syndromes exhibit a dual aspect: aberrant inference/belief updating and impaired neuromodulatory synaptic gain control.
- The brain's role as an inference engine highlights the significance of precision in belief updating and synaptic mechanisms.
Conclusions:
- A dual aspect approach, integrating belief updating (mind) and neurophysiology (brain), offers broad explanatory power for psychiatry and movement disorders.
- This framework identifies pathophysiological underpinnings of psychopathology and suggests psychotherapeutic and psychopharmacological targets with mechanistic links.
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