Barlow D H
Center for Anxiety and Related Disorders, Boston University, 648 Beacon Street, 6th Floor, Boston, MA 02215-2013, USA.
Am Psychol. 2000 Nov;55(11):1247-63. doi: 10.1037//0003-066x.55.11.1247.
The ascendance of emotion theory, recent advances in cognitive science and neuroscience, and increasingly important findings from developmental psychology and learning make possible an integrative account of the nature and etiology of anxiety and its disorders. This model specifies an integrated set of triple vulnerabilities: a generalized biological (heritable) vulnerability, a generalized psychological vulnerability based on early experiences in developing a sense of control over salient events, and a more specific psychological vulnerability in which one learns to focus anxiety on specific objects or situations. The author recounts the development of anxiety and related disorders based on these triple vulnerabilities and discusses implications for the classification of emotional disorders.
情感理论的兴起、认知科学和神经科学的最新进展,以及发展心理学和学习领域日益重要的研究发现,使得对焦虑及其障碍的本质和病因进行综合解释成为可能。该模型明确了一组综合的三重易感性:一种普遍的生物学(可遗传的)易感性、一种基于早期对显著事件形成控制感的经历的普遍心理易感性,以及一种更具体的心理易感性,即人们学会将焦虑集中于特定的物体或情境。作者基于这些三重易感性阐述了焦虑及相关障碍的发展,并讨论了其对情绪障碍分类的影响。