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IL CERVELLO ? DEMITIZIAMOLO

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Il cervello? Demitizziamolo

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Parla lo psichiatra Eugenio Borgna: «Nella visione naturalista delle neuroscienze la mente si riduce a circuiti neurali e sostanze chimiche»
«Dobbiamo difendere lo spazio della psiche, che è ben più ampio di quello cerebrale. Altrimenti si arriva a spiegare l’esperienza mistica con i criteri della biologia»
borgna eugenio -175-2Eugenio Borgna è uno strano tipo di medico umanista: non solo per il modo in cui tratta i pazienti, ma anche per l’ampiezza della cultura a cui attinge: spiega la schizofrenia citando il caso di Hölderlin, forse il maggior poeta tedesco di tutti i tempi; analizza l’emozione sfruttando gli aforismi di Nietzsche, apprezza James Hillman, ma crede di più nell’analisi della psiche di Giacomo Leopardi.
Il suo ultimo libro, L’arcipelago delle emozioni (Feltrinelli), è dedicato in buona parte a demolire la convinzione, radicata nella nostra cultura, che ragione e passione siano l’una il contrario dell’altra.
Recentemente Borgna ha denunciato la «dura lotta» che la psichiatria sta conducendo per sfuggire alle «maglie terrificanti del riduzionismo», che identifica il nostro mondo interiore con la conformazione fisica e chimica del nostro cervello.
Professore, non crede che le neuroscienze possano aiutare la psicologia?
«Oggi il discorso sulla psiche si è fatto da una parte più ampi o, dall’altra anche più rischioso. Le neuroscienze ci dicono che i circuiti cerebrali stanno a fondamento delle nostre emozioni, e che questi processi sono strettamente legati, in senso biologico, ai processi cognitivi.
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Certe tesi riduzionistiche che in passato venivano proposte in termini astratti, ora trovano un fondamento, pericolosissimo, nel cuore delle nostre attuali conoscenze del sistema nervoso: tutto ciò che avviene nell’uomo non sarebbe altro se non espressione di circuiti neurali oppure di sostanze chimiche impazzite. La psichiatria sta cercando di salvare l’area dello psichico, che è l’area del senso, di evitare la sua distruzione».
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In effetti le neuroscienze di solito ragionano così: se analizziamo palmo a palmo il cervello, prima o poi troveremo quello che gli antichi (poveretti!) chiamavano “anima”…
«Non tutti gli indirizzi, ma il trend dominante è quello di ricondurre fenomeni come ragione, emozione, immaginazione e spiritualità all’attività dei circuiti cereb rali. Quindi – si pensa – man mano che le nostre conoscenze avanzeranno, faranno sparire l’area dei “fenomeni psichici”, ridotti a pure modificazioni materiali. Alcuni scienziati sostengono che siano i neuroni, accendendosi, a “produrre” i nostri pensieri.
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Altri, più prudenti, dicono che la complessità dei fenomeni psichici è tale da rendere impossibile ricondurli nella loro globalità all’attività del cervello, e bisogna ammettere che qualcosa di enigmatico rimane. C’è il rischio, anche fra cattolici, di cadere prigionieri del fascino delle neuroscienze. Proprio sulle pagine di “Agorà” mi è capitato tempo fa di leggere, sotto il titolo “Il neurone cerca Dio”, un articolo sul libro Dio nel cervello, di Andrew.
.
Raccontava un esperimento in cui i due autori (un radiologo e uno psichiatra, ndr) hanno registrato la contemporaneità tra l’attività contemplativa di alcuni monaci buddisti e suore francescane e certe visualizzazioni delle funzioni cerebrali ottenute con la tomografi a computerizzata. I due studiosi, in sostanza, sostenevano che il fatto che un’esperienza spirituale si accompagni a una modificazione della circolazione vascolare di certe aree del cervello ci consente di individuare le basi biologiche dell’esperienza mistica.
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  Sempre su “Avvenire”, ho letto invece una relazione molto bella del cardinale Ruini che sosteneva che la biologia molecolare non può spiegare la vita psichica; il titolo era: “Non tutto è neurone“. Mi è sembrato un confronto a distanza molto significativo».
Oggi quasi nessuno proclama una fiducia illimitata nella scienza. Però nella prassi delle singole discipline, e anche all’interno dell’attività terapeutica, questa sorta di neopositivismo strisciante ha un peso notevole.
«Ho anch’io quest’impressione. Le neuroscienze – come ci insegnano filosofi come Carlo Basandosi sull’osservazione del fatto che una lesione cerebrale si può accompagnare a deficit della memoria oppure a disturbi della coscienza, essa iniziò a identificare malattie psichiche e malattie cerebrali. Oggi i nostri meccanismi di analisi non si limitano più agli esami istologici, ci permettono di osservare il funzionamento del cervello “in diretta”».
Lei lavora un po’ a cavallo dei due aspetti fisico e psichico: la psichiatria ha anche fiducia nell’azione dei farmaci. Come giudica la loro diffusione, sempre più vasta?
.
«Nelle forme di depressione che hanno un’origine psicologica, ad esempio la tristezza che nasce dalla perdita di una persona cara o dall’esistenza di conflitti, i farmaci antidepressivi non servono.
.
 Oggi si tende a immergere in un calderone unico depressioni di ogni genere; si parla di un 18-20% della popolazione che almeno una volta nella vita attraversa esperienze di questo tipo, ma nella loro stragrande maggioranza le depressioni non hanno fondamenti biologici: quelle che hanno cause fisiche non superano lo 0,3-0,4% di una popolazione. Gli antidepressivi modificano un nucleo estremamente circoscritto di patologie, non possiamo estendere il discorso».
Cosa pensa del via libera americano alla somministrazione di Prozac ai bambini?
«Non c’è fine alla tentazione di estendere gli antidepressivi a ogni forma di vita che non sia quella della gaiezza e dell’euforia, le sole emozioni che sono ormai tollerate nella vita adulta, e adesso anche in quella infantile. Non si sopporta che esistano bambini seri, dotati di capacità di attenzione e di riflessione, si pretendono solo bambini espansivi e allegri, scambiando così per malattia modi di essere riservati e discreti.
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 Certamente, esistono bambini tristi, ma ciò è legato a modelli di comportamento alienati e indifferenti dei genitori, che con la prescrizione di antidepressivi vengono così completamente “scaricati” delle loro responsabilità. Come nell’adolescenza, ancor più nell’infanzia c’è bisogno di dialogo e di ascolto, e non di medicine inutili».
I concetti che oggi le neuroscienze propongono sono gli stessi che venivano sbandierati già dalla psichiatria ottocentesca.
Sini – finché si limitano al loro campo di analisi e non fanno speculazioni di natura generale, sono accettabili fino in fondo. Se invece arrivavano a sostenere che il pensiero nasce dall’attivarsi dei neuroni, compiono un salto molto problematico, perché tra il piano biologico e quello psichico esiste un abisso.
Newberg ed Eugene d’Aquili.

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