Flannelly Kevin J, Koenig Harold G, Galek Kathleen, Ellison Christopher G
The HealthCare Chaplaincy, New York, New York 10022, USA.
J Nerv Ment Dis. 2007 Dec;195(12):996-1003. doi: 10.1097/NMD.0b013e31815c19b1.
This article reviews aspects of the literature on neuroscience, psychiatry, and cognitive and evolutionary psychology to illustrate how primitive brain mechanisms that evolved to assess environmental threats underlie psychiatric disorders, and how beliefs can affect psychiatric symptoms through these brain systems. Psychiatric theories are discussed that (a) link psychiatric disorders to threat assessment and (b) explain how the normal functioning of threat assessment systems can become pathological. Three brain structures that are consistently implicated in psychiatric symptomology also are involved in threat assessment and self-defense: the prefrontal cortex, the basal ganglia, and parts of the so-called limbic system. We propose that as these structures evolved over time they formed what we refer to as evolutionary threat assessment systems, which detect and assess potential threats of harm. Drawing on various psychological and psychiatric theories we propose how beliefs about the world can moderate psychiatric symptoms through their influence on evolutionary threat assessment systems.
本文回顾了神经科学、精神病学以及认知与进化心理学方面的文献,以阐明为评估环境威胁而进化出的原始大脑机制是如何构成精神障碍的基础,以及信念如何通过这些大脑系统影响精神症状。文中讨论了一些精神病学理论,这些理论(a)将精神障碍与威胁评估联系起来,(b)解释了威胁评估系统的正常功能是如何变得病态的。在精神症状学中一直涉及的三个脑结构也参与威胁评估和自我防御:前额叶皮层、基底神经节以及所谓边缘系统的部分区域。我们提出,随着这些结构随时间进化,它们形成了我们所说的进化威胁评估系统,该系统可检测和评估潜在的伤害威胁。借鉴各种心理学和精神病学理论,我们提出关于世界的信念如何通过对进化威胁评估系统的影响来调节精神症状。