No root cause: What if mental health symptoms are the actual disease?

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Credit: Angie Wang

โ€œIn the prevailing understanding of mental disorders, the premise is that an underlying cause exists,โ€ says Sverre Urnes Johnson, associate professor at UiOโ€™s Department of Psychology and a senior researcher and psychology specialist at the Modum Bad Psychiatric Center.

The idea is that symptoms like sadness, insomnia, social isolation and constant brooding are just different manifestations of a hidden root cause.

The symptoms arenโ€™t the real problem, in other words. The actual problem can be found in a personโ€™s genes, biochemical disruptions or unconscious internal conflicts.

The prevailing principle above has been taken from medicine, says Johnson.

An example is when an underlying bacterial infection gives you a fever and sore throat. Even if you take painkillers and fever-reducing medication, it doesnโ€™t address the real cause of the problem.

โ€œBut this approach doesnโ€™t make sense in psychology. Here, the symptoms have value in themselves. They are the patient’s experienced problems, and we know that these problems affect each other. One problem โ€“ or symptom, as itโ€™s called in the medical model โ€“ can trigger or reinforce another,โ€ Johnson says.

“Focusing on finding underlying causes can come at the expense of the chance to help someone,” says Johnson.

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