A Valuation Framework for Emotions Applied to Depression and Recurrence
A Valuation Framework for Emotions Applied to Depression and Recurrence
The burden of depression is substantially aggravated by relapses and recurrences, and these become more inevitable with every episode of depression. This chapter describes how computational psychiatry can provide a normative framework for emotions and an integrative approach to core cognitive components of depression and relapse. Central to this is the notion that emotions effectively imply a valuation; thus they are amenable to description and dissection by reinforcement-learning methods. It is argued that cognitive accounts of emotion can be viewed in terms of model-based valuation, and that automatic emotional responses relate to model-free valuation and the innate recruitment of fixed behavioral patterns. This model-based view captures phenomena such as helplessness, hopelessness, attributions, and stress sensitization. Considering it in more atomic algorithmic detail opens up the possibility of viewing rumination and emotion regulation in this same normative framework. The problem of treatment selection for relapse and recurrence prevention is outlined and suggestions made on how the computational framework of emotions might help improve this. The chapter closes with a brief overview of what we can hope to gain from computational psychiatry.
Keywords: Strüngmann Forum Report, computational psychiatry, depression, emotion, model-based valuation, recurrence, reinforcement learning, relapse, valuation
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