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三位一体脑在精神病学中的地位。

The place of the Triune Brain in psychiatry.

作者信息

Ploog Detlev W

机构信息

Max Planck Institute of Psychiatry, Kraepelinstrasse 2, 80804, Munich, Germany.

出版信息

Physiol Behav. 2003 Aug;79(3):487-93. doi: 10.1016/s0031-9384(03)00154-9.

Abstract

MacLean's pioneering concept of "The Triune Brain" began to emerge in 1949 with his publication Psychosomatic disease and the "visceral brain", followed in 1952 by Some psychiatric implications of physiological studies on frontotemporal portion of limbic system (visceral brain). This shows that his seminal ideas grew out of his astute observation of psychiatric signs and symptoms. Later on, he observed the broad spectrum of human epileptic seizures and its cause in the limbic system. A large variety of uncontrolled feelings and emotions, together with bizarre motor behavior, is elicited by seizures in the hippocampus and other limbic structures.Meanwhile, based on the triune brain model, a new approach to psychopathology has taken shape. It is the evolutionary perspective of mental diseases such as the major psychoses, anorexia nervosa, anxiety disorders, and also brain diseases such as Parkinson's disease or Huntington's disease. Many mental illnesses are marked by severe deficits in social behavior and social communication. The social communication system disintegrates, especially in the major psychoses. The response choices to social or other external signals in a given situation become limited or even distorted, and reasoning is no longer part of decision making. The emphasis of this contribution is on the disintegration of social behavior in psychopathology, based on evolutionary psychiatry. MacLean's concept provides valuable insight for understanding the biological roots of human social behavior and communication. It is time to uncover the ties between the natural and the social sciences.

摘要

麦克林的开创性概念“三位一体大脑”于1949年随着他发表的《身心疾病与“内脏脑”》开始出现,1952年又发表了《关于边缘系统(内脏脑)额颞部分生理研究的一些精神病学意义》。这表明他的开创性思想源于他对精神病症状的敏锐观察。后来,他观察到了人类癫痫发作的广泛类型及其在边缘系统中的病因。海马体和其他边缘结构的癫痫发作会引发各种各样不受控制的感觉和情绪,以及怪异的运动行为。与此同时,基于三位一体大脑模型,一种新的精神病理学研究方法已经形成。这是从进化的角度来看待诸如重度精神病、神经性厌食症、焦虑症等精神疾病,以及帕金森病或亨廷顿舞蹈症等脑部疾病。许多精神疾病的特征是社交行为和社交沟通严重缺陷。社交沟通系统瓦解,尤其是在重度精神病中。在特定情况下对社交或其他外部信号的反应选择变得有限甚至扭曲,推理不再是决策的一部分。基于进化精神病学,本文的重点在于精神病理学中社交行为的瓦解。麦克林的概念为理解人类社会行为和沟通的生物学根源提供了宝贵的见解。是时候揭示自然科学与社会科学之间的联系了。

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