Bradley S J
Hospital for Sick Children, Department of Psychiatry, Toronto, Ontario.
Can J Psychiatry. 1990 Aug;35(6):540-7. doi: 10.1177/070674379003500613.
A failure of affect regulation is put forward as central to the development of psychopathology. Giving affect regulation this pivotal role allows one to explain how the various theories of intervention (for example, dynamic, behavioural, medical) can all have relatively similar results. As well, it provides an explanation for the common findings of brain and language dysfunction in psychopathology, the co-occurrence of anxiety disorders in various other mental disorders and the responsiveness of individuals with severe pathology to the affect in their environments. A model is presented linking the reticular, limbic and frontal systems of the brain with the conceptual frameworks used by mental health workers in their efforts to intervene. To illustrate how the model may be used, it is applied to various disorders.
情感调节失败被认为是精神病理学发展的核心。赋予情感调节这一关键作用,能够解释为何各种干预理论(例如,动力学、行为学、医学理论)都能产生相对相似的结果。此外,它还能解释精神病理学中大脑和语言功能障碍的常见发现、各种其他精神障碍中焦虑症的共病现象,以及重症患者对其环境中情感的反应。本文提出了一个模型,将大脑的网状系统、边缘系统和额叶系统与心理健康工作者在干预过程中使用的概念框架联系起来。为说明该模型的应用方式,将其应用于各种障碍。