Evidence map›Paper›PMID 41783322›Full record

ArticleFrontiers in psychology2026

Prometheus unbound? Oceanic affectivity and the neuropsychodynamics of addiction.

Human-Friedrich Unterrainer

Abstract read
In one paragraph

Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Human-Friedrich UnterrainerFaculty of Psychotherapy Science, Sigmund Freud Private University, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Altered states of consciousness range from psychotic disintegration to mystical union, with oceanic affectivity - experiences of ego dissolution, boundlessness, and affective merging - constituting a central feature. While such states can be induced by psychedelics, they also occur through trauma, meditative practices, or within compulsive addictive cycles. In addition, oceanic states may offer temporary relief from psychic pain but often reinforce a regressive return to early undifferentiated states of self, bypassing affect and symbolic integration and adaptive regulation. From a neuropsychodynamic perspective, this dynamic reflects both a defense against and a longing for psychic wholeness. In that sense, addiction may function as a failed form of transcendence - an attempt to escape internal fragmentation through altered consciousness. Drawing on the myth of Prometheus, it is proposed that the repeated self-harming cycle of addiction resembles the eternal devouring of the liver: a neurobiological and symbolic site of both detoxification and self-destruction. Neuroscientifically, such states are associated with alterations in the default mode network, limbic dysregulation, reduced top-down control, and increased neural entropy. These changes may loosen rigid ego structures and facilitate the emergence of unconscious material, including early affective and relational imprints. This paper integrates psychodynamic theory with current neuroscientific findings to conceptualize addiction not merely as a maladaptive behavior but as a neuropsychodynamic attempt to restore lost internal cohesion. Understanding oceanic states as transitional phenomena at the boundary between breakdown and transformation offers a more nuanced approach to the addictive process and its therapeutic implications.

Indexed as

addictionaltered states of consciousnessdefault mode networkego dissolutionexistential neuroscienceneuropsychodynamicsoceanic affectivitysymbolization

Identifiers

PMID41783322
PMCPMC12953040

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.