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Dagens psykiatri befinner sig i ett etiskt sönderfall

Dagens psykiatri befinner sig i ett etiskt sönderfall

Jag är sextio år och det kan tyckas att sextiotalisten varnar för ungdomens förfall men jag ska tala för min sak utifrån ett fallexempel och några artiklar.

Jag började arbeta som psykolog på Brandbergens vårdcentral i Haninge söder om Stockholm 2003. Det första decenniet arbetade jag ensam så det blev en vana att ta emot så många studenter som möjligt. Nu är vi många psykologer och traditionen lever vidare.

Det senaste decenniet har jag själv varit patient. Jag har hjärncancer och har gjort fyra operationer. Efter de två första kom jag tillbaka genom arbetsrehabilitering. Jag hade fördjupat mig i mindfulness och kunde arbeta upp kapacitet med detta. Den fjärde operationen gjorde jag under pågående heltidssjukskrivning efter den tredje operationen. Den långsamtväxande cancerformen hade övergått till att bli snabbväxande.

Jag tog mig dock tillbaka och har jobbat i ett år. Dock utan att få patienter för mindfulness. Parallellt har kollegorna planerat för en stresskola. I juni fick jag reda på att jag skulle kalla alla som visat intresse för stresskolan till mindfulnessgrupp efter semestern. Jag skulle också ta hälften av alla nybesök vuxna.

Jag blev naturligtvis paff men den krassa förklaringen är att subjektet (i det här fallet mitt subjekt) inte är med som parameter.

Jag kraschade tungt direkt efter semestern. Svårigheterna med att involvera subjektet inom vården är dock större än vad detta fallexempel kan visa.

”Att veta är att mäta”, är det som gäller. Om man inte kan mäta subjektet finns det inte. Filosofin har brottats med detta sedan de gamla grekerna. Nu tar man för givet att allt är mätbart. För att klara den spärren har jag behövt bryta ny filosofisk mark (2017). För att begreppsliga relationen mellan det biologiska objektet och det upplevande subjektet behövde jag sedan definiera en icke-kemisk biologisk energi (2021). Slutligen, för att få in det upplevande subjektet som en klinisk parameter, behövde jag skapa en ny psykologi, makropsykologi (2024).

Nu finns det en väg att följa för att återinföra det upplevande subjektet.

För att kunna arbeta etisk i förhållande till det upplevande subjektet behöver det erkännas. Nu är det möjligt.

Det etiska sönderfallet inom psykiatrin är en följd av tidsandan. Det upplevande subjektet erkänns inte eftersom det inte går att mäta. Det etiska förhållningssättet till det upplevande subjektet har därför imploderat. Lösningen till detta omänskliga förhållande är att följa min väg. Kunskap är kanske makt men just nu är det framförallt ansvar. Vi kan förhålla oss etiskt till det upplevande subjektet. Följ bara min väg.

Referenser

Gamper, J. (2017). On a Loophole in Causal Closure. Philosophia 45, 631–636https://doi.org/10.1007/s11406-016-9791-y

Gamper, J. (2021). Biological Energy and the Experiencing Subject. Axiomathes 31, 497–506. https://doi.org/10.1007/s10516-020-09494-8

Gamper, J. (2024). Marco psychology.

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On the Axiomatisation of the Natural Laws

Johan Gamper. (2023). On the Axiomatisation of the Natural Laws — A Compilation of Human Mistakes Intended to Be Understood Only By Robots. Qeios. doi:10.32388/KC9YAU.

Abstract

This is an attempt to axiomatise the natural laws. Note especially axiom 4, which is expressed in third order predicate logic, and which permits a solution to the problem of causation in nature without stating that “everything has a cause”. The undefined term “difference” constitutes the basic element and each difference is postulated to have an exact position and to have a discrete cause. The set of causes belonging to a natural set of dimensions is defined as a law. This means that a natural law is determined by the discrete causes tied to a natural set of dimensions. A law is defined as “defined” in a point if a difference there has a cause. Given that there is a point for which the law is not defined it is shown that a difference is caused that connects two points in two separate sets of dimensions.

Keywords: Natural laws, Axiomatisation, Causality, Objects

1. Undefined terms

1. ρ

2. σ

3. Difference

4. Dimension

5. Relation

6. Element

7. Cause

8. Point

9. Belongs to

10.Existence

2. Initial definitions

a set = df A specific existence of elements (in this extraction defined by occurrence within brackets ({})).

a complex of dimensions = a field of dimensions = df A set of dimensions.

D = df A specific and limited set of dimensions.

π = df The cause of ρ on σ.

θ = {σ, ρ, π} = df

1. A specific π that causes a specific ρ on a specific σ,

2. the specific ρ that is caused by the specific π in 1. and

3. the specific σ mentioned in 1.

Dkm = df A specific and limited field of dimensions; {dk, dk+1, …, dm}, in which d is a separate dimension and Dkm contains m-k+1 dimensions.

form = df A specific set of relations.

Ξ = df The form of θ.

elements of relation = df Parts of a structure of relations necessary to define a form.

Π, Ρ and Σ = df The elements of relation of Ξ; where Π represents the relations of π, Ρ the relations of ρ and Σ the relations of σ.

3. Axioms

Axiom 1: ρ is a difference

Axiom 2: σ is a difference

Axiom 3: ρ belongs to Dkm, a specific and limited field of dimensions

Axiom 4: In all points X belonging to an arbitrary D, Ξ is true.

4. The object Ω

Ω = df

1. {ρ1, ρ2, …, ρi},

2. in which each and every ρx (1 ≤ x ≤ i) constitutes a difference towards {ρ1, ρ2, …, ρx-1}, and where

3. ρx+1 constitutes a difference towards {ρ1, ρ2, …, ρx-1, ρx}.

5. π:s relation to D

θ implicates an unique cause π to each and every ρ. For a specific and limited field of dimensions Dkm therefore, a precise set of causes λ is tied to included ρ. This specific set causes the total set of ρ in Dkm. Each and every ρ in Dkm therefore can be explained with the set λ. Why ρx+1, for instance, is answered with πx.

Definition of the law λ

λ = df {π0, π1, …, πq}, in which each and every πx causes a ρx+1 belonging to the set {ρ1, ρ2, …,ρq,ρq+1} which constitutes the total amount ρ in a specific and limited field of dimensions (Dkm).

From the definition above follows theorem 5 and theorem 6.

Theorem 1: (Not part of this compilation.)

Theorem 2: (Not part of this compilation.)

Theorem 3: (Not part of this compilation.)

Theorem 4: (Not part of this compilation.)

Theorem 5: λkm causes all ρ in Dkm.

Theorem 6: Every ρ caused by a certain law λx exists in a limited and specific complex of dimensions Dx.

6. Inter-relations of laws λ

Definition of Dn

Dn = df The field of dimensions {d1, d2, …, df, …, dg, …, dn-1, dn},1≤f ≤g≤n that contains;

1. all ρx belonging to Dfg,

2. all ρy that can form Ω for ρx and

3. all ρz that ρx can constitute Ω for.

Definition of Λ of Dn

Λ = df {λ1, λ2, …, λP}, where Ρ is the total amount of laws applying in Dn and where {λ1, λ2, …, λP} causes all ρ belonging to Dn.

Another definition concludes this section:

initiating difference = df σ

7. Definition of “λ defined in a point X0”

With Λ and its part-laws λ each and every difference related to Ω (ρ) has a cause π belonging to Λ. Assume a point X0 belonging to Dkm belonging to Dn. What “λkm is defined in X0“ means is defined below.

Definition of λ defined

λkm is defined in a point X0 belonging to Dkm = df θ is true in X0.

Theorem 7: If λkm is defined in X0, Λ is defined in X0

Theorem 8: If Λ is defined in X0, λkm is defined in X0

A special case is at hand when for a point X0 holds {¬σ, ¬ρ, ¬π}. Is in this case λkm defined in X0? Since λkm does not exist in X0 (¬π is true and π is λ:s representative in X0), λkm is neither defined nor not defined in X0. Thus the next theorem applies:

Theorem 9: If for a point X0 holds {¬σ, ¬ρ, ¬π} λkm for the point is neither defined nor not defined.

Before going further some new concepts are introduced:

effect = df ρ

a point of effect = df A point X in which ρ is true.

From the two definitions above follows:

Theorem 10: In a point of effect θ is true.

8. Beyond θ

Either the state of things is such that it is not possible that θ does not apply in each point where π apply, or it is not impossible. If the latter is the case something not of Λ bound can emerge in a point. Arbitrariness though, in that case, is not imminent, nor chance, due to axiom 4: “In all points X belonging to an arbitrary D, Ξ is true” (Ξ = df The form of θ). This implies that if a law for a point is defined in that point Ξapply and if the law is not defined Ξapply:

Theorem 11: Ξ is true in all points X0 whether or not λ(X0) is defined.

Ξ,”the form of θ”, does not include chance because the form implicates a cause to each difference. Therefore the following is valid:

Theorem 12: It is not true for any point that effect can occur by chance.

9. Derivation and definition of ρ’ and ~ρ

Λ not defined in X0

Assume Λ is not defined in a pointX0. This implicates according to the definition of ”λ defined” that θ is not true in X0. For X0 then the following is true:

(1) ¬θ

θ has three elements for which thus apply “not”:

(2) ¬{σ, ρ, π}

(2) implicates that at least one element of θ is negated:

Theorem 13: ¬θ ⇒ i) {¬σ, ρ, π}∨ ii) {σ, ¬ρ, π}∨ iii) {σ, ρ, ¬π}∨ iv) {¬σ, ¬ρ, π} ∨ v) {¬σ, ρ, ¬π}∨ vi) {σ, ¬ρ, ¬π} ∨ vii) {¬σ, ¬ρ, ¬π}

According to theorem 9 Λ is neither defined nor not defined in a point X0 where vii) is true, therefore vii) is not true in X0.

Again ¬π implicates a cause-less difference [iii) and v)] and also a cause-less negation of difference [vi)]. Furthermore ¬σ implicates that a cause of a difference has emerged at random [i)] respectively a cause of a negated difference emerging at random [iv)]. When a cause-less difference or negation of difference is equal to chance i), iii)-vi) implicates chance. Since axiom 4, by theorem 12, does not permit chance i), iii)-vi) are not true in X0. ¬ρ finally implicates negation of difference [ii)].

¬θ then implicates seven alternatives of which six are not possible. Then the seventh, ii) {σ, ¬ρ, π}, is true:

Theorem 14: If Λ is not defined in a point X0 {σ, ¬ρ, π} is true in that point.

10. Of Ρ in X0 where Λ is not defined

Theorem 14, though, does not show how Ξ:s elements of relation are fulfilled when it is lacking a fulfilment of Ρ. Axiom 4 implicates that Ρ is fulfilled in X0. Thus Ρ is fulfilled in X0.

Theorem 15: If Λ is not defined in a point X0 then holds for X0: {σ, ¬ρ, π} ∧ Ρ is fulfilled.

Ρ is not fulfilled by the ρ that is negated (ρ), nor by the negation of it (¬ρ). That which fulfils Ρ in X0 can be called ρ’.

Definition of ρ‘: ρ‘ = df That which fulfils Ρ in a point X0 for which Λ is not defined.

11. Dimensionality

In X0 ¬ρ is true. Since X0∈Dn ρ’ can not belong to Dn, nor is it possible that the point which ρ’ belongs to, belongs to Dn.

Theorem 16: The point that ρ‘ belongs to, does not belong to Dn.

Definition of X’0 = df The point that ρ‘ belongs to.

Here a hypothesis will be introduced, in which it is assumed that ρ’ exists in the dimensions Dn symbolises with the addition of some more, separating it from Dn:

Hypothesis 1: ρ‘ exists in a complex of dimensions with the n dimensions of Dn plus ω numbers of dimensions, ω∈N, ω>0.

Definition of D’: D’ = df The complex of dimensions that ρ‘ belongs to.

Theorem 17: Dn ∈ D’.

12. New laws

Λ does not apply in X0. In spite of that ρ’ is caused for X0 (in X’0). With this, one could say that Λ’ determines ρ’. The specific law that applies in X0′ can be called λ’1. Also π did not cause ρ’. The cause of ρ’ can be called π’.

Definition of π’: π‘ = df The cause of ρ’.

Definition of λ‘1: λ‘1 = df The law that the cause of ρ‘ belongs to.

Definition of Λ‘: Λ‘ = df The law-domain that contains λ‘1.

13. The cause of ρ’

Since ρ’ does not belong to Dn it cannot exist in X0. Therefore there are two points to be considered though they are connected. For the pair of points X0-X0′ holds:

#1 {σ, ¬ρ, ρ’, π}

σ and π on the other hand cannot belong to X’0, since they belong to Dn.

In X’0 there is ρ’. According to axiom 4 in X0′ there also has to be more elements. Axiom 4 states that the cause and condition of effect have to be found in the point of effect. Therefore cause and condition of effect is part of #1. Since only ¬ρ is not occupied as an element of relation it has the quality of the two missing elements of X0′. Thus ¬ρ is part of X0′. For not violating logical rules of dimensions, namely that what is part of Dn cannot be identical to that which is part of D’ ≠ Dn, ¬ρ in Dn is not identical to that of D’. ¬ρ in X0′ can be called ~ρ (“denied” ρ).

14. ~ρ as a set

Because π’ and ~ρ are elements, not for instance numbers, the relation between the two can be formulated as a relation between sets. Then the one is an element of the other. Since π’ definitely is one:

Definition of ~ρ: ~ρ = df The representation of ¬ρ in X’0

Theorem 18: In X’0 ~ρ is cause and condition of ρ‘.

Theorem 19: (Not part of this compilation).

Theorem 20: σ‘ ∈ ~ρ

Theorem 21 : π‘ ∈ ~ρ

Definition of σ‘: σ‘ = df What fulfils the relations of Σ in X’0

Therefore:

X0: {σ, ¬ρ, π}

X’0: {σ’, ρ’, π’}

Theorem 22: (Not part of this compilation.)

Theorem 23: (Not part of this compilation.)

Theorem 24: (Not part of this compilation.)

Theorem 25: (Not part of this compilation.)

Theorem 26: (Not part of this compilation.)

Theorem 27: (Not part of this compilation.)

Finally a theorem that sums up some aspects of the theory so far:

Theorem 28: If Λ is not defined in a point X0 {σ, ~ρ, ρ‘, π} is true.

15. The concept Θ

If Λ is not defined in a point X0 belonging to Dn, ΡforX0 is shifted to D’, a complex of dimensions separated from Dn. Ρ in D’ is called ρ’. This implicates an existence of something with association to ¬ρ, ~ρ. The cause of ρ’, π’, in turn, belongs to ~ρ.

For X0-X’0 holds according to theorem 28: {σ, ~ρ, ρ’, π}. In a point X’1, separated from X’0, and belonging to D’, the case is: {σ, π, ρ}, that is, θ. Between Dn and D’ {σ, ~ρ, ρ’, π} is true, a state of facts below symbolised Θ.

Definition of Θ: Θ = df {σ, ~ρ, ρ’, π} .

That Θ can be true is the result of the present study.

Theorem 29: (Not part of this compilation.)

Theorem 30: (Not part of this compilation.)

Theorem 31: (Not part of this compilation.)

16. Axiom(s) of existence

Axiom of existence 1: There is at least one point for which Θ is true.

17. Conclusion

Given this extraction something exists in two separate sets of dimensions. Extrapolating this finding we have a new perspective on quantum entanglement (Bub 2020). If a set of quantum particles pair wise are joined by what has been labelled “Θ:s” they would be entangled. It would also be interesting to investigate “interfaces” between separate sets of things (Gamper 2017) using the concept of “Θ“.

References

Bub, Jeffrey, “Quantum Entanglement and Information”, The Stanford Encyclopedia of Philosophy (Summer 2020 Edition), Edward N. Zalta (ed.), URL = <https://plato.stanford.edu/archives/sum2020/entries/qt-entangle/>

Gamper, J. On a Loophole in Causal Closure. Philosophia 45, 631–636 (2017). https://doi.org/10.1007/s11406-016-9791-y

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Theoretical Psychiatry

The 2026 world congress for psychiatry accepted  my four submissions that introduced a field of research I call “theoretical psychiatry.”

They are now withdrawn.

https://karlpu.org/2026/06/03/accepted-posters-for-the-wpc-2026-stockholm-september/

Now we have psychiatry that is dependent upon the first philosophy. The anomalies are piling up. Experiencing subjects with experiences that have to be understood. So that the experiencing subject feels understood. 

Nota Bene.  The AI psychiatrist simulates understanding when it communicates “I understand”. It is called “validation”. 

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Opinion

Opinion: Pareto’s Curse

Four out of five patients at a primary health care center could benefit from counseling but only one out of five is referred. Of those referred 20 percent cancel their appointment or just do not show up. In that group 80 percent manages as good on their own and the other 20 percent need counseling the most. Of those who come to counseling 80 percent needs help to understand and cope with their current situation whereas 20 percent are in the need of a broader approach. In the group that needs a broader approach 80 percent is best treated in the primary care with an eclectic stance while the other 20 percent for the best is referred to secondary psychiatric care.

The group that is accepted for RCT (randomized controlled trial) studies is found among the 80 percent of the patients with the need of a broader approach of the 20 percent of the patients in counseling. In that population 80 percent is not accessible for the scientists (due to life et cetera). The other 20 percent is subject to research. Approximately 20 percent of this group of 20 percent are the very patients that are part of the RCT studies (they have accepted to be randomized for CBT (cognitive behavioral therapy) or TAU (treatment as usual), they have allocated time for all tests, they have showed up for all sessions and done their homework, and they have taken part of the follow ups. Lately it has been shown that internet based CBT and group based CBT is as god as CBT with physical sessions. This research is based on the group of 20 percent of the population that accept and endure physical sessions CBT.

Pareto’s law is an empirically based statement that identifies a 80/20 relation in various situations. At a primary health care center, for example, 20 percent of the patients stands for 80 percent of all the appointments.

When the healthcare is under pressure from stakeholders to produce more and more evidence based appointments there is a risk that Pareto’s law collapses into what I call Pareto’s curse. In this particular case evidence based practice translates into CBT which translates into good practice. CBT is good. But without individually customized CBT and without more than one line of treatment only 20 percent of 20 percent of 80 percent of 20 percent of those who come for counseling will benefit from the treatment. That is 0,64 percent or one patient out of 156 patients needing counseling.

To understand why this threatens healthcare systems we have to look at Goodhart’s law. Goodhart’s law can be formulated as “When a measure becomes a target, it ceases to be a good measure.” The evidence based practice movement initially wanted to give research its natural place next to clinical experience and the patients preferences. This measure then became the target.

To overcome Pareto’s Curse we must return to Pareto’s Law and do what is best in each situation.

(A counselor the other day went with her daughter to a primary healthcare clinic for teenagers for a first meeting with a psychologist. The daughter spent 80 percent of the session filling in forms and talked with the psychologist for 20 percent of the session. The daughter decided to not return.)

(Note, this is only a problem in 80 percent of 20 percent of the world’s countries.)

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Donate

 Donate to Johan Gamper’s projects “Adalja Forces — Visions and Will” and “Adalja” via bank transfer to

Account holder: Johan Gamper

Bank: Nordea

Country: Sweden

IBAN: SE1730000000032274555273

BIC (SWIFT-address): NDEASESS

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Accepted workshop WADP2027

Title:Psychic Energy and Macro Psychology

Abstract

Tragically, the society treats us as biological objects. In this workshop we investigate and discuss how this can be countered via the possibility of non-chemical biological energy and non-biological psychic energy. The starting point is Johan Gamper (2021, 2024). We apply the concepts to understand the background of psychiatric conditions and also the principles behind major psychotherapeutic methods.

References

Gamper, J (2021). Biological Energy and the Experiencing Subject. Axiomathes 31, 497–506.

https://link.springer.com/article/10.1007/s10516-020-09494-8

Gamper, J. (2024). Macro Psychology. Qeios. https://www.qeios.com/read/QTI0VB

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Psychotherapy

Macro Psychology and the Foundation of Psychotherapy

Summary

This work builds upon the paper Biological Energy and the Experiencing Subject (Gamper, J, Axiomathes, 2020). The focus is to show how the idea of an experiencing subject can be conceived of within modern psychotherapy. We follow the track from conditioning for animals (without concern for an experiencing subject), via behavioral therapy for humans with an experiencing subject and cognitive behavioral therapy for humans with an experiencing subject where we give the subject a rational for the behavioral modification, to psychodynamically oriented therapy where we confront the very subject without going via her behavior. The three methods are explained within the context of macro psychology, a psychology extracted from the paper Biological Energy and the Experiencing Subject. Conditioning concerns therapeutic methods that does not address subjective experiences of the patient and neither address subjective experiences methodologically. For instance, you do not give the patient instructions since you do not rely on the patients ability to understand them. Behavioral therapy concerns methods that that are mediated by instructions. The patient is told to follow a procedure. Cognitive behavioral therapy adds explanations to the behavioral therapy. Psychodynamically oriented therapy concerns the subject’s tendency to repress difficult inner material to feel better. This material is focused in the therapy and the patient is informed about how the therapist understands the dynamic. The framework, thus, that is presented, encompasses the major psychotherapeutic methods of today.


1. Introduction

The paper Biological Energy and the Experiencing Subject (Gamper, 2020) contains a definition of biological energy that permits a purely mental energy that should be accounted for in its own right. Here we will look at some fundamental psychotherapeutic principles that can be drawn from that standpoint.

2. Macro psychology

Macro psychology is built upon the notion of biological energy as suggested in Gamper (2020). Biological energy is construed as the organisms ability to recover from the load it is exposed to. That load entails a need of recovery that grows with the load. The available energy has a maximum and when that is reached as far as the ongoing recovery is concerned, the available amount of energy is decreased if the load continues to grow. This is illustrated in figure 1.

For experiencing subjects it is conjectured that the need of recovery on the one hand is mediated by signals thereof, and on the other hand that the subject has a lower ability to perceive those very signals, the stronger they are, as illustrated in figure 2.

This dynamic for experiencing subjects has the odd consequence that even though the energy level lowers when load is increasing at high levels of load (compare figure 3) the subject tends to put pressure on herself to avoid the troublesome signals of need of recovery in order not to perceive them (compare figures 4-6).

3. The experiencing subject

The introduction of the experiencing subject allows for new possibilities for the organism to cope with load. We need to disentangle first, though, the biological object from the experiencing subject. For the biological object as such there is no dynamic to talk of. The object recovers if it needs to and can. When the organism is exposed to signals of need of recovery there is an experiencing subject that perceives them. Whereas the need of recovery is an abstract feature of organisms the signals of need of recovery are a reality for the experiencing subject. As depicted in figure 4 the signals can be attended to as they are perceived. This means that the biological needs of recovery are met via the experiencing subject. This, of course by assumption, is to say that the biological very needs of recovery are not perceived directly. The dynamic, however, is one dimensional — the organism recovers more or less.

The experiencing subject, on its side, can cope with its signals in other ways. To look at those possibilities we first have to focus on the the very subject. For the biological object the need of recovery is an abstract feature. The subject on the other hand has real signals of need of recovery so it is something that has the experiences of the signals. This something, the subject, has its parts. We will assume that the subject is composed of some parts as illustrated in figure 7.

3.1. Repression

The disentangling now comes to work. Whereas the biological object has need of recovery as an abstract but absolute feature the experiencing subject has its signals of need of recovery as real but with degrees of freedom to engage with them. The suggestion here is that the subject can project troublesome signals onto a single part and then repress it. This leaves the repressed part emptied of energy while the remaining parts are energized. This process can be reiterated (compare figures 8-12).

4. Psychotherapeutic principles

The psychotherapeutic processes that are interesting are the reversed ones as compared to the ones previously mentioned. Those were concerned with avoiding difficult signals of need of recovery. Whereas conditioning concerned non subjective features of the biological organism behavioral therapy (BT), cognitive behavioral therapy (CBT), and psychodynamically oriented therapy (PDT) concerns processes related to the experiencing subject.

4.1 BT

The psychotherapeutic principle of BT in the context of macro psychology is that the therapist instructs the patient to take explicit recovery measures. The patient by following the instructions recovers and by doing so has to endure the previously withheld difficult signals of need of recovery. A typical example is behavioral activation for depression where the therapist may instruct the patient to take daily walks.

4.2 CBT

The psychotherapeutic principle of CBT in the context of macro psychology is that the therapist instructs the patient to take explicit recovery measures and explains why (according to some model). In the CBT variant of macro psychology the rational would be that the patient avoids recovery to avoid the signals of need of recovery. Therefore she should try to recover even though it hurts in order to gain energy. A typical example is to accept sick leave in cases of exhaustion.

4.3 PDT

The psychotherapeutic principle of PDT in the context of macro psychology is that the therapist tries to emphasize with the patient in order to identify aspects of the patient that she has repressed. If the patient can acknowledge repressed contents she is instructed to try to endure the associated difficult signals of need of recovery that comes with it in order to regain access to to her own repressed parts.

5. Applications

Scenarios with a maltreated dog, its owner, and a therapist.

Conditioning

The therapist takes the dog to a safe environment.

Behavioral therapy

The therapist instructs the owner to take regular long walks with the dog, to feed it regularly, to let it have access to fresh water and to stop hitting it.

Cognitive behavioral therapy

The therapist instructs the owner to take regular long walks with the dog, to feed it regularly, to let it have access to fresh water and to stop hitting it. The therapist also tells the owner why.

Psychodynamically oriented therapy

The therapist tries to help the owner to reconnect to repressed parts that cares for the dog.

6. Reference: Gamper J (2020) Biological energy and the experiencing subject. Axiomathes.

© 2022 Johan Gamper

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johan.gamper@karlpu.org.

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Accepted posters WPC 2026

The employer, SLSO, Region Stockholm, Sweden, doesn’t support this research. The research is affiliated to Johan Gamper’s philosophical hobby project “Adalja”. This may lead to withdrawal of the posters but please reach out if you are interested in the content.

103 MUST THE EXPERIENCING SUBJECT BE NON-BIOLOGICAL FOR COMPASSION TO BE AN INTEGRATED PART OF THE PSYCHIATRIC SETTING?

Johan Gamper
Region Stockholm, Brandbergens vårdcentral, Brandbergen, Sweden

AS56 – PHILOSOPHY AND HUMANITIES IN PSYCHIATRY – WHAT IS THE ROLE OF PHILOSOPHY IN PSYCHIATRY?

Abstract Submission

Objectives

In this submission I answer yes to the question posed in the title, building on Gamper, 2021). The possibility comes to a price though, an intricate redefinition of the notion of biological energy. An even higher price is the abandonment of the Aristotelian first philosophy.

Reference

Gamper, J. Biological Energy and the Experiencing Subject. Axiomathes 31, 497–506 (2021). https://doi.org/10.1007/s10516-020-09494-8


Methods

Deducation.


Results

It is shown that a biological object can have an experiencing subject. Since psychiatric condidtions per definition manifest themselves as part of subjective experiences clinicians must use their own subective exeperinces to use their compassion in the clinical setting.


Conclusions

The result is a turning point for psychiatry and psychiatrists now can use their experiences in their practise.

 

#111 FORMAL AND AXIOMATIC PSYCHIATRY

Johan Gamper
Region Stockholm, Brandbergens vårdcentral, Brandbergen, Sweden

AS56 – PHILOSOPHY AND HUMANITIES IN PSYCHIATRY – WHAT IS THE ROLE OF PHILOSOPHY IN PSYCHIATRY?

Abstract Submission

Objectives

I just want to lay on the table two related but unexplored fields For future research. The first comes from an attempt to axiomatize the natural laws (Gamper 2023a) and the other from an attempt to find formal relations between very different fields (Gamper (2023b).

References

Johan Gamper. (2023a). On the Axiomatisation of the Natural Laws — A Compilation of Human Mistakes Intended to Be Understood Only By Robots. Qeios. doi:10.32388/KC9YAU.

Johan Gamper. (2023b). Formal Theology. Qeios. doi:10.32388/EMANI


Methods

Formal and axiomatic deduction.


Results

The axiomatical attempt is very sketchy but it if successfull the result would pull psychiatry closer to formal scences.

The formal approach is very promising. Among other things it identifies a formal link between self-consciousness and black hole singularities.


Conclusions

This could be a start for psychiatry to be really integrated with the other sciences.

 

#131 MACRO PSYCHOLOGY AND THE FOUNDATION OF PSYCHOTHERAPY

Johan Gamper
Region Stockholm, Brandbergens vårdcentral, Brandbergen, Sweden

AS56 – PHILOSOPHY AND HUMANITIES IN PSYCHIATRY – WHAT IS THE ROLE OF PHILOSOPHY IN PSYCHIATRY?

Abstract Submission

Objectives

This work builds upon the paper Biological Energy and the Experiencing Subject (Gamper, J, Axiomathes, 2020). The focus is to show how the idea of an experiencing subject can be conceived of within modern psychotherapy. We follow the track from conditioning for animals (without concern for an experiencing subject), via behavioral therapy for humans with an experiencing subject and cognitive behavioral therapy for humans with an experiencing subject where we give the subject a rational for the behavioral modification, to psychodynamically oriented therapy where we confront the very subject without going via her behavior. The three methods are explained within the context of macro psychology. Conditioning concerns therapeutic methods that does not address subjective experiences of the patient and neither address subjective experiences methodologically. For instance, you do not give the patient instructions since you do not rely on the patients ability to understand them. Behavioral therapy concerns methods that that are mediated by instructions. The patient is told to follow a procedure. Cognitive behavioral therapy adds explanations to the behavioral therapy. Psychodynamically oriented therapy concerns thesubject’stendency to repress difficult inner material to feel better. This material is focused in the therapy and the patient is informed about how the therapist understands the dynamic. The framework, thus, that is presented, encompasses the major psychotherapeutic methods of today.


Methods

Deduction from clinical trial and error.


Results

An integrated view of modern psychotherapies.


Conclusions

Macro psychology can help bridge the gap between theoretical and clinical psychology.

#169 BIOLOGICAL PARTS AND BIOLOGICAL WHOLES — LESSONS FOR PSYCHIATRY

Johan Gamper
Region Stockholm, Brandbergens vårdcentral, Brandbergen, Sweden

AS56 – PHILOSOPHY AND HUMANITIES IN PSYCHIATRY – WHAT IS THE ROLE OF PHILOSOPHY IN PSYCHIATRY?

Abstract Submission

Objectives

Philosophically, it has been hard to determine how parts and wholes are related. Gamper (2024) suggests causal principles to solve the puzzle. For hundreds of years biology has discussed what the essential part of biological organisms is. Gamper (ibid.) makes a suggestion and uses it to compose living things, organisms. As biological objects this affects psychiatry too. Wee need to take into consideration the causal principles at hand and act accordingly. Psychiatrists don’t simulate flying. They fly.

Reference

Johan Gamper. (2024). Causal Principles in Material Constitution: A Philosophical Inquiry into the Composition of Objects. Qeios. doi:10.32388/H2B7NA.2. https://www.qeios.com/read/H2B7NA.2


Methods

We use a new mereological thesis to put psychiatry in perspective vis-a-vis other causal settings.


Results

Psychiatry, as having to do wih biological objects, is shown to be equally dealing with physical objects as other sciences.


Conclusions

This is a purely philosophical (mereological) study and may be used to inspire research into causal connections within psychiatry.