Mechanisms of psychotherapy from the perspective of the dominant principle

Abstract

Introduction: Psychophysiological research holds significant potential for advancing psychotherapy. Understanding the psychophysiological laws that govern psychotherapeutic mechanisms can improve prognostic accuracy and enable a more precise determination of their safety and efficacy. Aims. This study aimed to investigate the theoretical foundations of the psychophysiological basis of psychotherapeutic effects, with a focus on exploring the role of the dominant principle in psychotherapy. Materials and methods. The primary research method was a systematic review and theoretical analysis of contemporary literature concerning psychotherapeutic mechanisms from the perspective of the dominant principle. Results. The article presents the fundamental concepts of the dominant principle and details the psychological composition of a dominant center. It examines the mechanisms of various psychotherapeutic modalities from the perspective of dominant activity during psychotherapy. The dynamics of a dominant center throughout the course of psychotherapeutic intervention are described. Conclusion. The psychological component of a dominant constellation can be characterized by four primary elements: motivational, emotional, cognitive, and behavior­ral. The motivational component is system-forming and activates the entire constellation. When selecting a psychotherapeutic approach, it is important to account for the characteristics of dominant activity to enhance treatment efficacy and mitigate potential adverse effects.