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我们应该使用什么框架来理解发育障碍?

What framework should we use for understanding developmental disorders?

作者信息

Frith U

机构信息

Institute of Cognitive Neuroscience, University College London, England.

出版信息

Dev Neuropsychol. 2001;20(2):555-63. doi: 10.1207/S15326942DN2002_6.

Abstract

The neuropsychology of dyslexia has made great strides in the last decade. In particular, a consensus views dyslexia as a developmental disorder with a basis in the brain and in the genes, where the interaction of genetic and environmental factors is taken for granted. However, problems in defining the phenotype continue to bedevil research. The main conceptual problems can be expressed in three main questions: (a) Is dyslexia based on a specific brain abnormality or is it merely part of a continuum of atypical brain development? (b) When can we speak of comorbidity? (c) Why does so much individual variability occur? These questions can be tackled in a common framework that takes into account simultaneously three levels: the biological, the cognitive, and the behavioral.

摘要

在过去十年中,诵读困难的神经心理学取得了巨大进展。特别是,一种共识观点认为诵读困难是一种基于大脑和基因的发育障碍,其中遗传和环境因素的相互作用是理所当然的。然而,在定义表型方面的问题仍然困扰着研究。主要的概念性问题可以用三个主要问题来表述:(a)诵读困难是基于特定的大脑异常,还是仅仅是大脑非典型发育连续体的一部分?(b)我们何时可以谈及共病?(c)为什么会出现如此多的个体差异?这些问题可以在一个共同的框架中解决,该框架同时考虑三个层面:生物学层面、认知层面和行为层面。

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