Computational psychiatry and the evolving concept of a mental disorder

Abstract

AbstractAs a discipline, psychiatry is in the process of finding the right set of concepts to organize research and guide treatment. Dissatisfaction with the status quo as expressed in standard manuals has animated a number of computational paradigms, each proposing to rectify the received concept of mental disorder. We explore how different computational paradigms: normative modeling, network theory and learning-theoretic approaches like reinforcement learning and active inference, reconceptualize mental disorders. Although each paradigm borrows heavily from machine learning, they differ significantly in their methodology, their preferred level of description, the role they assign to the environment and, especially, the degree to which they aim to assimilate psychiatric disorders to a standard medical disease model. By imagining how these paradigms might evolve, we bring into focus three rather different visions for the future of psychiatric research. Although machine learning plays a crucial role in the articulation of these paradigms, it is clear that we are far from automating the process of conceptual revision. The leading role continues to be played by the theoretical, metaphysical and methodological commitments of the competing paradigms.