EC Gynaecology

This study proposes the circulatory structure of mind model, a theoretical framework describing how human psychological processes sustain themselves through a self-reinforcing cycle. The model integrates five domains traditionally examined separately- dual structure, cognitive dissonance, cognitive bias, narrative construction, and approval-seeking-and demonstrates that these mechanisms operate sequentially and recursively. Contradictions arising from the dual structure (e.g. honne-tatemae; private-public self) generate cognitive dissonance, which activates cognitive biases such as confirmation bias, rationalization, projection, and self- serving bias. These biases shape personal narratives, which subsequently become intertwined with the need for social approval. Approval stabilizes the external self but simultaneously widens the gap with the internal self, thereby reproducing the dual structure and closing the cycle. A proof-of-concept application in obstetrics and gynecology illustrates that generative AI can analyze patient narratives through this five-layer structure and identify clinically meaningful intervention points. These findings suggest that the mind functions not as a static entity but as a continuously circulating dynamic system. Understanding this circulation provides a conceptual foundation for clinical practice, cultural psychology, and AI design.

Keywords: Circulatory Structure; Mind Model; Integrative Theory; Dual Structure; Cognitive Dissonance; Cognitive Bias; Narrative Formation; Social Approval; Obstetrics and Gynecology

1. Nakane C. “Japanese society”. University of California Press (1967).
2. Doi T. “The anatomy of dependence”. Kodansha (1971).
3. Festinger L. “A theory of cognitive dissonance”. Stanford University Press (1957).
4. Markus HR and Kitayama S. “Culture and the self: Implications for cognition, emotion, and motivation”. Psychological Review2 (1991): 224-253.
5. Bruner J. “Acts of meaning”. Harvard University Press (1990).
6. McAdams DP. “The stories we live by: personal myths and the making of the self”. Guilford Press (1993).
7. Spreng RN., et al. “The common neural basis of autobiographical memory, prospection, navigation, theory of mind, and the default mode: A quantitative meta-analysis”. Journal of Cognitive Neuroscience3 (2009): 489-510.
8. Baumeister RF and Leary MR. “The need to belong: Desire for interpersonal attachments as a fundamental human motivation”. Psychological Bulletin3 (1995): 497-529.
9. Boyd D. “It's complicated: The social lives of networked teens”. Yale University Press (2014).
10. Dweck C. “Mindset: The new psychology of success”. Random House (2006).
11. O’Neil C. “Weapons of math destruction: how big data increases inequality and threatens democracy”. Crown (2016).