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A Neural Systems-Based Neurobiology and Neuropsychiatry Course: Integrating Biology, Psychodynamics, and Psychology in the Psychiatric Curriculum

Received February 18, 2006; accepted March 14, 2006. Dr. Lacy is affiliated with the Department of Psychiatry, Malcolm Grow Medical Center, Andrews Air Force Base, Maryland. Dr. Hughes is affiliated with The National Naval Medical Center, Bethesda, Maryland. Address correspondence to Dr. Lacy, 1050 W. Perimeter Road, 4A, SGOHA, Andrews Air Force Base, MD 20762; timothy.lacy{at}pentagon.af.mil (E-mail). Copyright © 2006 Academic Psychiatry.

OBJECTIVE: Psychotherapy and biological psychiatry remain divided in psychiatry residency curricula. Behavioral neurobiology and neuropsychiatry provide a systems-level framework that allows teachers to integrate biology, psychodynamics, and psychology. METHOD: The authors detail the underlying assumptions and outline of a neural systems-based neuroscience course they teach at the National Capital Consortium Psychiatry Residency Program. They review course assessment reports and classroom observations. RESULTS: Self-report measures and teacher observations are encouraging. By the end of the course, residents are able to discuss both neurobiological and psychodynamic/psychological concepts of distributed biological neural networks. They verbalize an understanding that psychology is biology, that any distinction is artificial, and that both are valuable. CONCLUSIONS: A neuroscience curriculum founded on the underlying principles of behavioral neurobiology and neuropsychiatry is inherently anti-reductionistic and facilitates the acquisition of detailed information as well as critical thinking and cross-disciplinary correlations with psychological theories and psychotherapy.

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