Emotion, Wellbeing and the Neurological Disorders

Fisher, Zoe, Galloghly, Emily, Boglo, Elorm, Gracey, Fergus and Kemp, Andrew H. (2021) Emotion, Wellbeing and the Neurological Disorders. In: Encyclopedia of Behavioral Neuroscience. UNSPECIFIED, pp. 220-234. ISBN 9780128196410

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Abstract

Wellbeing is now a topic of substantial research interest, yet definitions emphasize health, happiness and the absence of illness. This implies that people with neurological conditions have limited opportunities for experiencing wellbeing. We argue that this is not the case. Here we summarize the neurobiology of emotional processing and wellbeing, and consider how this neural circuitry is compromised following neurological injury or disease. We then discuss how negative psychosocial sequelae associated with these conditions further compound dysfunction, ultimately reducing opportunities for wellbeing. We emphasize the role of individual differences in determining outcomes and, considering emerging work on neural plasticity, we introduce new initiatives that may help to promote wellbeing in these individuals. We conclude that the focus of wellbeing interventions should be expanded to include interventions with a brain-body focus, highlighting the role of the autonomic nervous system and the vagus nerve in particular – the primary nerve supporting the parasympathetic nervous system – as a structural link between mental and physical health. We also highlight a need to sustain positive change, drawing on behavioral change theory. Furthermore, and moving beyond an overly individualized psychotherapy or rehabilitation approach, we highlight the role of communities and environments within which people live, and illustrate the role of sociostructural factors that impact on wellbeing at multiple levels of scale. Overall, these insights provide opportunities for short circuiting the downward spiral of negativity, social withdrawal and inter-related mental and physical ill-health in the neurological disorders, laying foundations for innovative treatment interventions involving a variety of stakeholders.

Item Type: Book Section
Additional Information: Funding Information: We would like to acknowledge the support of Swansea University and the National Health Service in recognizing and promoting our work through various awards including the University Research and Innovation Award for Outstanding Impact on Health and wellbeing (2018) and the Swansea Bay University Health Board Chairman's VIP Award for Commitment to Research and Learning (2018). We would also like express our heartfelt thanks for the support of our service users, with whom we have built and implemented our positive psychotherapy intervention that is based on the GENIAL theoretical framework ( Andrew Haddon Kemp et al., 2017a ; Mead et al., 2019 ). Finally, grant funding from Health and Care Research Wales through the Research for Public Patient Benefit Scheme is acknowledged (RfPPB-18-1502). This funding is supporting our activities to further develop our positive psychotherapy intervention in line with our GENIAL theoretical framework.
Uncontrolled Keywords: medicine(all),neuroscience(all) ,/dk/atira/pure/subjectarea/asjc/2700
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 13 Oct 2021 02:25
Last Modified: 24 Nov 2021 03:21
URI: https://ueaeprints.uea.ac.uk/id/eprint/81685
DOI: 10.1016/B978-0-12-819641-0.00013-X

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