Shrirang Bakhle
Dr Bakhle Clinic, IndiaPresentation Title:
Unified top-level organization of the brain: Psychiatric perspective
Abstract
Introduction: The brain has 86 billion neurons with so many nuclei, pathways, and networks. Yet it produces a unified first-person experience. How do all the brain parts come together to produce this unified mind, this top-level organization? Most studies in neuroscience study individual parts of the complex brain. But this leads to the situation of the proverbial ‘5 blindfolded persons and the elephant’. It is important to understand the whole ‘elephant’, the comprehensive umbrella framework/organization of the whole brain. This presentation describes such a framework.
Method: When studying large but unified organizations (such as a government), the top-down approach is more useful as compared to the bottom-up approach. This involves describing the top-level organizational chart accompanied by the description of how the lower levels create this structure. The topmost function of the cerebral cortex is receiving sensory / autonomic inputs, processing them in the mind, and producing motor / neuroendocrine outputs. This presentation describes a novel framework called the ‘4-Levels, 5-Parts Framework’. This is a comprehensive neuroscience-based umbrella framework that accommodates and coherently describes the top-level organization of the mind-brain, and how it created by the lower levels.
Conclusions: The 4-Levels, 5-Parts Framework allows coherent, unified description of all aspects of psychiatry:
- How different aetiological factors (psychosocial / neurobiological / somatic) interact with brain parts and cause dysfunctions
- How different therapies (psychotherapies / medicines acting on synapses and channels, brain stimulation therapies) act at different levels in the mind-brain organization
- How the normal mind processes inputs (individual and multiple)
- How all the dysfunctions seen in mental disorders are placed in this Framework.
Biography
Shrirang Bakhle is an accomplished psychiatrist and alumnus of Seth G. S. Medical College, Mumbai, with a PG in clinical psychiatry from the University of South Wales, UK. With over three decades of private practice in Mumbai, he has made significant contributions to the field of psychiatry, publishing numerous research papers and presenting at prestigious international conferences, including the World Congress of Psychiatry and the American Psychiatric Association Annual Meetings. Beyond his clinical work, he has authored three books aimed at demystifying mental health for the general public and has contributed a weekly newspaper column on mental health, furthering public awareness and understanding of psychiatric issues.