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创伤后应激障碍的认知方法:多表征理论化的演变

Cognitive approaches to posttraumatic stress disorder: the evolution of multirepresentational theorizing.

作者信息

Dalgleish Tim

机构信息

Emotion Research Group, Medical Research Council Cognition and Brain Sciences Unit, Cambridge, England.

出版信息

Psychol Bull. 2004 Mar;130(2):228-60. doi: 10.1037/0033-2909.130.2.228.

DOI:10.1037/0033-2909.130.2.228
PMID:14979771
Abstract

The evolution of multirepresentational cognitive theorizing in psychopathology is illustrated by detailed discussion and analysis of a number of prototypical models of posttraumatic stress disorder (PTSD). Network and schema theories, which focus on a single, explicit aspect/format of mental representation, are compared with theories that focus on 2 or more explicit representational elements. The author argues that the latter theories provide a more complete account of PTSD data, though are not without their problems. Specifically, it is proposed that at least 3 separate representational elements-associative networks, verbal/propositional representations, and schemas-are required to generate a comprehensive cognitive theory of PTSD. The argument that the development of multirepresentational cognitive theory in PTSD is a paradigm case for the development of similar theories in other forms of psychopathology is elaborated, and a brief agenda is proposed promoting 2 levels of theorizing-deep, formal theory alongside more localized, applied theory.

摘要

通过对一些创伤后应激障碍(PTSD)典型模型的详细讨论和分析,阐述了精神病理学中多表征认知理论的演变。将专注于心理表征单一、明确方面/形式的网络和图式理论,与专注于两个或更多明确表征元素的理论进行了比较。作者认为,后一种理论能更完整地解释PTSD数据,尽管也并非没有问题。具体而言,有人提出,至少需要三个独立的表征元素——联想网络、言语/命题表征和图式——才能生成一个全面的PTSD认知理论。文中详细阐述了PTSD中多表征认知理论的发展是其他形式精神病理学中类似理论发展的范例这一观点,并提出了一个简短的议程,以推动两个层面的理论构建——深入的形式理论以及更局部的应用理论。

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