Raphael M. Bonelli

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Raphael Bonelli (2013)

Raphael Maria Bonelli (born September 10, 1968 in Schärding , Austria ) is an Austrian neuroscientist , psychiatrist and systemic psychotherapist in his own practice.

Life

Bonelli was born the first of five children to a doctor couple and went to school in Vienna. He studied medicine at the University of Vienna from 1986 to 1993 and received his doctorate in 1994 with a dissertation on compliance in an outpatient clinic for phase prophylaxis , i.e. mood-stabilizing medication for depression or bipolar disorder . From 1995 to 2002 he completed specialist training in neurology , from 1996 to 2005 psychotherapy training in systemic therapy, which he completed with a training analysis with the Graz psychoanalyst Walter Pieringer .

In 1999 he specialized in the neuropsychiatric disease Huntington's disease and founded an outpatient clinic and a self-help group for those affected . From 2003 to 2006 Bonelli completed his training as a specialist in psychiatry at the Clinic of the Medical University of Graz . Research stays at Harvard and UCLA followed . From 2003 to 2008 he was Vice President of the Austrian Association of Biological Psychiatry . In 2004 he began to set up and manage the neuropsychiatric outpatient clinic in Graz. In the same year he received his doctorate as Dr. scient. med. at the University of Graz . In 2005 he completed his habilitation in psychiatry. At the psychiatric clinic of the Graz Medical University, he held positions as head of the research group "Biological Psychiatry" and, from 2006, as ward manager. At the beginning of 2009 he moved to the Paracelsus private medical university in Salzburg as a university lecturer . From 2011 he was head of a “Neuropsychiatry Research Group” at the Sigmund Freud University in Vienna .

Bonelli heads the Institute for Religiosity in Psychiatry & Psychotherapy in Vienna and is a faculty member of the “Center for Spirituality, Theology and Health” at Duke University (USA). He runs a private practice in Vienna and is Vice President of the Austrian Huntington's Disease Aid , for which he has been organizing and directing the annual Austrian Huntington's Disease Congress since 2006 .

Bonelli is married and has four children. He is a Roman Catholic and, according to his own statements, has been a member of the Malteser Hospitaldienst Austria , an Austrian aid organization of the Sovereign Order of Malta, since 1989 . He is also an elected member of the parish council of the Klosterneuburg collegiate church , which is headed by the Augustinian Canons . Bonelli is responsible for marriage and family, community development and adult education. According to the news magazine profil , he allegedly confessed to membership in Opus Dei in 2007 . In an interview in 2013, however, he stated that he was not a member.

Research priorities

Neuroscience

Bonelli is the author of scientific publications in the border area between neurology and psychiatry. He deals with the subject of Huntington's chorea, about which he wrote his habilitation thesis "Neuropsychiatric Therapy of Huntington's Disease". With his working group, he has developed pharmacological therapy options for this disease: pramipexole , quetiapine , minocycline , mirtazapine , zotepine , ziprasidone and venlafaxine . In a letter to the Annals of Pharmacotherapy, the Bonellis group discussed the discontinuation of antipsychotics for this disease (“drug holiday”). Bonelli was a member of the Steering Committee of the European Huntington's Disease Network's large-scale international observational study registry , which closed in 2017. As part of this study, he was involved in investigating the psychological characteristics of about 2000 HD patients and their quality of life with this disease.

Bonelli was the first to use the transglutaminase technique to describe the neurotoxic effects of antipsychotics on demented patients, after he had previously established this method as a biomarker for dementia . At UCLA, together with Jeffrey Cummings, he developed a new classification system for subcortical dementia and, in this cooperation, also analyzed the neurobiological basis of these disorders.

At Harvard University , he developed a guideline for volumetric magnetic resonance imaging research in mood disorders . On the subject of schizophrenia , he was involved in positron emission tomography studies that investigated cerebral blood flow in neuropsychological experiments. He studied the dopamine metabolism in restless legs syndrome during sleep using the single-photon emission computed tomography method. Together with a neurosurgical research group, he examined the cerebrospinal fluid in patients with a subarachnoid hemorrhage in order to evaluate various treatment options. With regard to multiple sclerosis , he examined the endocrinological parameters of the prevalence of autoimmune thyroiditis . He also dealt with the problem of brain death in an interdisciplinary manner.

Religion and depression

At Duke University , Bonelli studied the relationship between religiosity and depression . He described a largely positive effect of religiosity on the human psyche from an empirical and scientific point of view and came to the conclusion: “This vulnerability of religious life requires a psychiatrist who is sensitive to religious questions, since practically all psychological problems in religious patients can have a religious dimension. In view of the numerous empirical findings that religiosity has a positive influence on the psychiatric course of the disease, an appreciation of this dimension seems to be even more urgent. "

Nonfiction publications

Bonelli has published books on various psychological topics.

perfectionism

Bonelli explains perfectionism as fearful avoidance behavior , in which there is a disproportion between “should” ( ideal ), “is” ( reality ) and “must”. A natural tension between “should” and “is” is easy for the mentally healthy person to endure and motivates him to develop further. A perfectionist, on the other hand, cannot bear this tension, because for him the (never fully realizable) “should” is a permanent reproach for not being perfect yet. The “should” mutate into a fear-inducing “must” that restricts the freedom of action. According to Bonelli, the background is an exaggerated fear of mistakes and the associated criticism , which he anxiously tries to avoid: "The perfectionist is not about perfection itself, but about the bombproof inviolability associated with it".

narcissism

For his model of narcissism, Bonelli refers to the neurobiological and genetic research of Robert Cloninger , in particular the "three dimensions of character" (self-directedness, cooperativeness, self-transcendence). From this point of view, narcissism is characterized by the three-step process

  1. Self-idealization - in the sense of an inflated self-esteem and an inflated self- assessment.
  2. External devaluation - in the sense of a contempt and active disparagement of the other.
  3. Self-immanence - as a contrast to self- transcendence in Victor Frankl and Robert Cloninger.

Bonelli emphasizes that everyone has narcissistic parts, which are mostly unconscious, but still recognizable and changeable. Narcissism is a continuum until diagnosis of narcissistic personality disorder , but there is no such thing as good or healthy narcissism (as Alice Miller has postulated). Bonelli distinguishes narcissism from perfectionism : while the perfectionist is self-insecure and fearful and circling around himself and slipping into the mask of the perfect in order to please, the narcissist sees himself beyond others because of his self-idealization and depreciation of others. Bonelli cites studies according to which narcissists even in the unconscious have an excessively positive opinion of themselves, which refutes the theory of allegedly low self-esteem and lack of self-love ( Erich Fromm ). Also, contrary to many claims, the narcissist is not incapable of empathy (in contrast to the autistic ), but unwilling. The narcissistic lack of self-transcendence - called self immanence by Bonelli - manifests itself according to Bonelli in a lack of values , a lack of ideals and a lack of selfless commitment to the general public. The self-idealization - that is, the exaggerated self-assessment - would be noticed by children from overly praising parents, as modern empirical research has shown. In contrast, there is no empirical evidence for the theory of cold, hostile parents ( Otto F. Kernberg ).

Media presence

As an expert in psychiatry, Bonelli was a guest in formats such as Nachtcafé (SWR) , stern TV (RTL) , Eins zu Eins (BR) , hr2-kultur (HR) , Talk im Hangar-7 (Servus TV) , Pros and Cons (Puls 4) , Im Zentrum (ORF) , Stöckl (ORF) , Orientation (ORF) and Salzburg Night Studio (ORF) .

From 2004 to 2015 Bonelli hosted a live broadcast with listeners' questions on "Borderline issues between psychiatry and spirituality" on Radio Maria . From 2014 to 2016 he was represented in the Catholic online magazine kath.net with the series “You ask, psychiatrist Raphael Bonelli answers”.

On Deutschlandfunk , he was critical of Donald Trump's personality : He attested to narcissistic behavior, but did not want to make a remote diagnosis. In the Wiener Zeitung he thought he was a bad politician, neither right nor left, but contradicted the hypothesis that Trump was dangerously mentally ill and suffering from malignant narcissism and warned of hysteria. Bonelli warns of the achievement society , in which everything is about performance and appreciation: the consequences are burnout , helicopter parents , eating disorders and safety concerns. In this context, he also warned in the Kleine Zeitung that thinking about safety, perfectionism and performance mania also have a negative effect on love life. Many perfectionists would break at their own expectations. In Spiegel online he defines religiosity as a personal resource that cannot be switched on and off at the push of a button, and certainly not as a doctor can prescribe it like a pill. In 2011 he analyzed hostility to religion in Focus . He spoke out for a rational criticism of religion, but against irrational aggression .

Bonelli commented on the problem of pornography addiction in newspaper interviews and on television , for example in the Austrian daily Der Standard in 2010, in the gay magazine DU & ICH in 2012 or in a special Pro & Contra discussion at Puls 4 in 2018 , where he emphasized the lack of attachment through love , the when there is sexuality with changing or virtual objects , criticized. In a guest article for Der Standard, he analyzed the psychology of the 1968 movement and the sexual revolution , in which the catchphrase “free love” would have made non-binding a principle. As a psychiatrist, he sees this as problematic, because love without attachment is short-term satisfaction, not long-term happiness. In the context of the #MeToo debate, '68 people like Harvey Weinstein , Peter Pilz , Kevin Spacey , James Toback or Dominique Strauss-Kahn would have stumbled across this wrong concept of sexuality. Bonelli also sees a connection between this worldview and the pedophile movement and cites personalities such as Otto Muehl , Helmut Kentler , Daniel Cohn-Bendit , Volker Beck , Ernst Bornemann and Gerold Becker in this context . The 68ers would have turned the libido away from you and directed it towards itself. This is exactly how Sigmund Freud describes the psychodynamics of narcissism, which is why Bonelli agrees with Christopher Lasch that the 1968 movement was a “narcissistic cultural revolution”.

Books

Web links

Individual evidence

  1. ↑ People in Time: Raphael Bonelli. In: Vatican Radio , July 19, 2015, accessed on October 20, 2018.
  2. ↑ a b c curriculum of Univ.-Doz. Dr. med. Dr. scient. Raphael M Bonelli , accessed November 19, 2012.
  3. ↑ See the archive data in the research portal of the Medical University of Graz .
  4. ^ Raphael Maria Bonelli: Pharmacotherapy of Huntington's disease . Supervising institute: University Clinic for Psychiatry, Medical University of Graz, 2004, dissertation
  5. ^ Union catalog: Pharmacotherapy of Huntington's chorea . Dissertation by Raphael Maria Bonelli 2004.
  6. ↑ Hans-Bernhard Wuermling: God touches our soul with his beauty. Religion is good for people: A conference in the Cistercian Abbey of Heiligenkreuz dealt with "Liturgy and Psyche". In: The daily mail . May 9, 2009, p. 9.
  7. ↑ See the research project database of the Sigmund Freud Private University .
  8. ↑ Brigitte Theißl, Beate Bichler: Christian sex education and their networks. In: derstandard.at . May 27, 2020, accessed August 13, 2020 .
  9. ^ Medical Association for Vienna ( Memento from February 16, 2015 in the Internet Archive ), viewed on February 9, 2010.
  10. ^ Raphael M. Bonelli. Short biography, Selected Publications, rpp2009.org
  11. ↑ [1] .
  12. ^ Biography of Raphael Bonelli , accessed December 17, 2018.
  13. ↑ Homepage Stiftspfarre Klosterneuburg , accessed on December 17, 2018.
  14. ↑ profile , volume 38 . Wirtschafts-trend Zeitschriftenverlag, 2007, p. 28 ( Google Book Search ).
  15. ↑ Roland Noé: The lack of guilt makes us monsters. In: kath.net . June 24, 2013, accessed August 31, 2018 .
  16. ↑ List of publications .
  17. ^ RM Bonelli, MF Beal: Huntington's Disease. In: Schlaepfer, Nemeroff (Ed.): Neurobiology of psychiatric disease. Volume 105 Chapter 30. In: Handbook of Clinical Neurology. 106, 2012, pp. 507-526. PMID 22608641 .
  18. ↑ Anita Dollmanits: Congress on forgotten hereditary disease . ( Memento from July 18, 2006 in the Internet Archive ) ORF online, July 3, 2006.
  19. ^ Austrian Huntington's Disease Aid
  20. ↑ RM Bonelli, G. Niederwieser, J. Diez, A. Gruber, P. Költringer: Pramipexole ameliorates neurological and psychiatric symptoms in a Westphal variant of Huntington's disease. In: Clinical Neuropharmacology . 25 (1), Jan-Feb 2002, pp. 58-60.
  21. ^ RM Bonelli, G. Niederwieser: Quetiapine in Huntington's disease: a first case report. In: Journal of Neurology. 249 (8), Aug 2002, pp. 1114-1115.
  22. ↑ RM Bonelli, AK Hödl, P. Hofmann, HP Kapfhammer: Neuroprotection in Huntington's disease: A Two Year Study on Minocycline. In: International Clinical Psychopharmacology . 19 (6), Nov 2004, pp. 337-342.
  23. ↑ RM Bonelli, C. Heuberger, F. Reisecker: Minocycline for Huntington's disease: an open label study. In: Neurology. 60 (5), Mar 11, 2003, pp. 883-884.
  24. ↑ RM Bonelli: Mirtazapine in suicidal Huntington's disease. In: The Annals of Pharmacotherapy . 37 (3), Mar 2003, p. 452.
  25. ^ RM Bonelli, G. Niederwieser, T. Lahousen, P. Hoffmann: Zotepine in Huntington's disease. In: Human Psychopharmacology: Clinical and Experimental . 2003 Apr. 18 (3), Apr 2003, pp. 227-229.
  26. ^ RM Bonelli, BJ Mayr, G. Niederwieser, F. Reisecker, HP Kapfhammer: Ziprasidone in Huntington's disease: the first case reports. In: Journal of Psychopharmacology . 17 (4), Dec 2003, pp. 459-460.
  27. ^ AK Holl, L. Wilkinson, A. Painold, EM Holl, RM Bonelli: Combating depression in Huntington's disease: effective antidepressive treatment with venlafaxine XR. In: Int Clin Psychopharmacol. 25 (1), Jan 2010, pp. 46-50.
  28. ^ EZ Schmidt, P. Hofmann, HP Kapfhammer, RM Bonelli: Drug holiday in Huntington's disease. In: Annals of Pharmacotherapy. 39 (4), Apr 2005, pp. 773-774.
  29. ↑ See the list of members of the Steering Committee on euro-hd.net.
  30. ↑ See the description on clinicaltrials.gov.
  31. ^ E. van Duijn, D. Craufurd, AAM Hubers, EJ Giltay, R. Bonelli, H. Rickards, KE Anderson, MR van Walsem, RC van der Mast, M. Orth, GB Landwehrmeyer, European Huntington's Disease Network Behavioral Phenotype Working Group: Neuropsychiatric symptoms in a European Huntington's disease cohort (REGISTRY). In: J Neurol Neurosurg Psychiatry 85 (12), December 2014, pp. 1411-1418, online .
  32. ^ F. Brugger, C. Hepperger, EM Hametner, AK Holl, A. Painold, C. Schusterschitz, R. Bonelli, C. Holas, GK Wenning, W. Poewe, K. Seppi: Predictors of mental and physical quality of life in Huntington's disease. In: Nervenarzt 86 (2), February 2015, pp. 167-173.
  33. ↑ RM Bonelli, P. Hofmann, A. Aschoff, G. Niederwieser, C. Heuberger, G. Jirikowski, HP Kapfhammer: The influence of psychotropic drugs on cerebral cell death: female neurovulnerability to antipsychotics . (PDF; 431 kB) In: Int Clin Psychopharmacol. 20 (3), May 2005, pp. 145-149.
  34. Jump up ↑ RM Bonelli, A. Aschoff, G. Niederwieser, C. Heuberger, G. Jirikowski: Cerebrospinal fluid tissue transglutaminase as a biochemical marker for Alzheimer's disease. In: Neurobiology of Disease. 11 (1), Oct 2002, pp. 106-110. PMID 12460550 .
  35. ^ RM Bonelli, A. Aschoff, G. Jirikowski: Cerebrospinal fluid tissue transglutaminase in vascular dementia. In: Journal of the Neurological Sciences. 203-204 (C), Nov 15, 2002, pp. 207-209. PMID 12417385 .
  36. ^ RM Bonelli, JL Cummings: Frontal-subcortical dementias. Neurologist. 2008 Mar, 14 (2), pp. 100-107. PMID 18332839 .
  37. ^ RM Bonelli, JL Cummings: Frontal-subcortical circuitry and behavior. In: Dialogues in Clinical Neuroscience. 9 (2), 2007, pp. 141-151. PMID 17726913 .
  38. ↑ RM Bonelli, HP Kapfhammer, SS Pillay, D. Yurgelun-Todd: Basal Ganglia Volumetric Studies in Affective Disorder: What did we learn in the last 15 years? In: Journal of Neural Transmission. 113 (2), Feb 2006, pp. 255-268. PMID 16252064 .
  39. ↑ F. Ortuño, J. Arbizu, AC Soutullo, RM Bonelli: Is there a Cortical Blood Flow redistribution pattern related with Perseverative Error in Schizophrenia? In: Psychiatria Danubina. 21 (3), Sep 2009, pp. 283-289. PMID 19794343 .
  40. ↑ M. Moreno-Iniguez, F. Ortuno, R. Bonelli, M. Millan, C. Soutullo, S. Cervera-Enguiz: Perseverative error in schizophrenia: correlation with cortical blood flow by SPECT. In: Actas españolas de psiquiatría. 35 (1), Jan-Feb 2007, pp. 20-28. PMID 17323222 .
  41. ↑ F. Ortuño, M. Moreno-Íñiguez, M. Millán, CA Soutullo, RM Bonelli: Cortical Blood Flow during Rest and Wisconsin Card Sorting Test Performance in Schizophrenia. In: Wiener Medizinischen Wochenschrift. 156 (7/8), Apr 2006, pp. 179-184. PMID 16823534 .
  42. ↑ GG Tribl, p Asenbaum, G. Klösch, K. Mayer, RM Bonelli, E. Auff, J. Zeitlhofer, p Happe: Normal IPT and IBZM SPECT in drug naive and levodopa-treated idiopathic restless legs syndrome. In: Neurology. 59 (4), Aug 27, 2002, pp. 649-650.
  43. ↑ GG Tribl, p Asenbaum, p Happe, RM Bonelli, J. Zeitlhofer, E. Auff: normal striatal D2 receptor binding in idiopathic restless legs syndrome with periodic leg movements in sleep. Nuclear Medicine Communications. 25 (1), Jan 2004, pp. 55-60. PMID 15061265 .
  44. ↑ A. Gruber, K. Roessler, A. Georgopoulos, A. Mißbichler, R. Bonelli, B. Richling: Evaluation of big endothelin - 1 concentrations in serum and ventricular cerebrospinal fluid after early surgical compared with nonsurgical management of ruptured intracranial aneurysms. In: Journal of Neurosurgery . Neurosurgical Focus, 2000 May 15, 8 (5), May 2006, p. E6. PMID 16859284 .
  45. ↑ G. Niederwieser, W. Buchinger, RM Bonelli, A. Berghold, F. Reisecker, P. Költringer, JJ Archelos: Prevalence of autoimmune thyroiditis and non-immune thyroid disease in multiple sclerosis. In: Journal of Neurology. 250 (6), Jun 2003, pp. 672-675. PMID 12796827 .
  46. ^ RM Bonelli, EH Prat, J. Bonelli: Philosophical Considerations on Brain Death and the Concept of the Organism as a Whole. In: Psychiatria Danubina. 21 (1), Mar 2009, pp. 3-8. PMID 19270615 .
  47. ↑ S. Vasegh, DH rosemary, HG Koenig, RE Dew, RM Bonelli: Religious and Spiritual Factors in Depression. In: Depression Research and Treatment. 2012, Article ID 298056. doi: 10.1155 / 2012/298056 , hindawi.com .
  48. ↑ RM Bonelli, RE Dew, HG Koenig, DH Rosmarin, S. Vasegh: Religious and Spiritual Factors in Depression: Review and Integration of the Research. In: Depression Research and Treatment. Article ID 962860, 2012, doi: 10.1155 / 2012/962860 . hindawi.com .
  49. ^ Raphael Bonelli: Religiosity in Psychiatry and Psychotherapy . (PDF; 149 kB) In: Specialist in neurology, psychiatry. 1, 2007, pp. 20-25, viewed March 8, 2010.
  50. ↑ RM Bonelli: Perfectionism: When the should become a must. Pattloch-Verlag, Munich 2014, p. 34ff.
  51. ↑ RM Bonelli: Perfectionism: When the should become a must. Pattloch-Verlag, Munich 2014, p. 332ff.
  52. ↑ RM Bonelli: Male Narcissism: The Drama of Love, which circles around itself. Kösel-Verlag, Munich 2016, p. 10.
  53. ↑ RM Bonelli: Male Narcissism: The Drama of Love, which circles around itself. Kösel-Verlag, Munich 2016, p. 32 ff.
  54. ↑ Sabine Ertl: "Love revolving around itself" . Wiener Zeitung , November 21, 2016.
  55. ↑ RM Bonelli: Male Narcissism: The Drama of Love, which circles around itself. Kösel-Verlag, Munich 2016, p. 112 ff.
  56. ↑ RM Bonelli: Male Narcissism: The Drama of Love, which circles around itself. Kösel-Verlag, Munich 2016, p. 150.
  57. ↑ Category: Live broadcast with listeners' questions on the website www.bonelli.tv, accessed on April 5, 2019.
  58. ^ Kath.net : New Kath.net series: You ask, psychiatrist Raphael Bonelli answers. In: online portal kath.net . November 7, 2014, accessed September 12, 2018 .
  59. ↑ Maja Ellmenreich: Remote Diagnosis: Narcissism? In: Deutschlandfunk. May 18, 2018, accessed April 5, 2019 .
  60. ↑ Sabine Ertl: Simply a bad politician. In: Wiener Zeitung. September 18, 2017, accessed April 5, 2019 .
  61. ↑ R. Bonelli: When perfectionism becomes compulsion. In: ORF. March 28, 2019, accessed April 5, 2019 .
  62. ↑ Carmen Oster: Perfectionists always compare themselves to others. In: Small newspaper. March 19, 2019, accessed April 5, 2019 .
  63. ↑ Florian Bayer: Perfectionism: Breaking from your own expectations. In: The Standard. November 7, 2014, accessed April 5, 2019 .
  64. ↑ Christian Heinrich: Give us today our daily health. In: Der Spiegel Online. December 23, 2013, accessed April 5, 2019 .
  65. ^ R. Bonelli: The godless man. In: Focus. June 20, 2011, accessed April 5, 2019 .
  66. ↑ Help for pornography addicts - derStandard.at. Retrieved April 5, 2019 .
  67. ↑ Stefan Handl: Caught in the net. In: You & I. July 1, 2012, accessed April 5, 2019 .
  68. ↑ PULSE 4: Pro & Contra Special: Is porn harmful to society? Retrieved July 12, 2018 .
  69. ^ R. Bonelli: Neither free nor love: personal lust as a principle - derStandard.at. In: THE STANDARD. May 18, 2018, accessed April 5, 2019 .
personal data
SURNAME Bonelli, Raphael M.
ALTERNATIVE NAMES Bonelli, Raphael Maria (full name)
BRIEF DESCRIPTION Austrian specialist in psychiatry and neurology as well as medical psychotherapist and author
DATE OF BIRTH September 10, 1968
PLACE OF BIRTH Schärding , Austria