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Schismogenesis in anxiety spectrum disorders

A biopsychosocial perspective

Bibliographic Data

ID15523784
AuthorsMauro García-Toro (Research Institute of Health Sciences, corresponding author), Rocío Gómez-Juanes (0000-0002-9040-5508, Red de Investigación en Actividades Preventivas y Promoción de la Salud)
Year2026
Volume16
Pages1667066-1667066
Publication date2026-01-14
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2025.1667066
PMID41614096
OpenAlexW7124169964
LanguageEN
References cited137

Anxiety spectrum disorders (ASDs) often have an unsatisfactory prognosis, suggesting the opportunity for complementary explanatory frameworks to advance their therapeutics. This text advocates for a framework rooted in cybernetics and complex systems theory, which views the mind, brain, and social networks as deeply interdependent systems. A characteristic feature of such systems is the operation of similar organizational principles and laws across different levels of analysis, a phenomenon termed isomorphism. Thus, the mind, brain, and social systems operate under isomorphic principles, requiring a critical balance between stability (homeostasis) and the capacity for change (homeodynamics) to successfully adapt to environmental perturbations. From this perspective, the central challenge under stress is to prevent excessive fragmentation and functional dissociation, a process termed schismogenesis in cybernetics. ASDs are, therefore, reconceptualized as biopsychosocial dissociations stemming from a schismogenic mechanism. This framework posits that mental health is contingent upon maintaining a dynamic equilibrium between connectedness and independence across social, mental, and neural levels. It also suggests that any intervention promoting reintegration can be therapeutic when dissociation occurs. While single-component psychosocial approaches may suffice for mild cases of ASDs, the ideal therapeutic plan for severe or refractory cases should be rapidly implemented, personalized, multicomponent and synchronous

Anxiety · Biopsychosocial model · Integrative psychotherapy · Interdependence · Psychosocial · Social anxiety · Social connectedness · Systems theory · Mental Health and Psychiatry · Personality Disorders and Psychopathology · Psychotherapy Techniques and Applications

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