Sroufe L Alan
Institute of Child Development, University of Minnesota.
Child Dev Perspect. 2009 Dec 1;3(3):178-183. doi: 10.1111/j.1750-8606.2009.00103.x.
So important is the perspective of development for understanding psychopathology that it spawned a new discipline-"developmental psychopathology"-which has seen remarkable advances since its introduction,, but has yet to completely fulfill its promise. To do this requires maintaining a thoroughgoing developmental perspective. When we take development seriously, there are implications for how we understand psychopathology, describe and conceptualize the origins and course of disorder, and interpret research findings. From this perspective, disorders are complex products of development; for example, we can view neurophysiological associates of disorder not as causes but as markers, the development of which we need to understand. Research on developmental psychopathology requires an examination of the history of problem behavior from early in life, and it unites multiple features of adaptation and maladaptation (contextual, experiential, physiological, and genetic).
发展视角对于理解精神病理学是如此重要,以至于催生出了一门新学科——“发展性精神病理学”。自其创立以来,该学科已取得显著进展,但仍未完全实现其承诺。要做到这一点,需要保持一种彻底的发展视角。当我们认真对待发展时,这对我们理解精神病理学、描述和概念化障碍的起源与过程以及解释研究结果都有影响。从这个角度来看,障碍是发展的复杂产物;例如,我们可以将障碍的神经生理学关联因素视为标志而非原因,我们需要了解其发展过程。发展性精神病理学的研究需要考察从生命早期开始的问题行为史,并且它将适应和适应不良的多个特征(情境、经验、生理和遗传)结合在一起。