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实验心理病理学的进展:我们能从人类志愿者模拟类似障碍症状中学到什么?

Advances in experimental psychopatholinguistics: What can we learn from simulation of disorder-like symptoms in human volunteers?

作者信息

Heim Stefan

机构信息

Department of Psychiatry, Psychotherapy, and Psychosomatics, Medical School, RWTH Aachen University, Germany.

出版信息

Adv Cogn Psychol. 2013 Jun 17;9(2):102-11. doi: 10.2478/v10053-008-0137-6. Print 2013.

DOI:10.2478/v10053-008-0137-6
PMID:23833697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3700744/
Abstract

For more than a century, work on patients with acquired or developmental language disorders has informed psycholinguistic models of normal linguistic processing in healthy persons. On the other hand, such models of healthy language processing have been used as blue-prints to gain further insights into the impairments of patients with language pathologies. Against the exemplary background of language production, the first part of this paper reflects this relationship and formulates a desideratum for naturalistic albeit controlled experimental settings. Two recent examples of behavioural and neurofunctional research are presented in which aphasia-like speech symptoms were elicited in healthy control subjects. In the second part, this idea to investigate disorder-like symptoms which are being experimentally induced for the course of the study is further pursued in the field of reading and dyslexia research. Here, it is argued, again on the basis of behavioural and neurofunctional data, that such an approach is advantageous in at least two respects: 1. It allows a much more stringent control of experimental factors and confounds than could be potentially achieved in a clinical setting. 2. It allows in-extenso piloting of experiments with healthy volunteers before actually recruiting selected (and sometimes rare) patients. It will be concluded that the experimental simulation of disorder-like symptoms in easily accessible healthy volunteers may be a useful approach to understand novel aspects of a language disorder on the basis of a human neurocognitive model of this disorder.

摘要

一个多世纪以来,针对获得性或发育性语言障碍患者的研究为健康人正常语言处理的心理语言学模型提供了依据。另一方面,这种健康语言处理模型已被用作蓝图,以进一步深入了解语言病理学患者的损伤情况。以语言产生为例,本文第一部分反映了这种关系,并为自然主义但可控的实验环境提出了要求。文中展示了行为和神经功能研究的两个最新例子,其中在健康对照受试者中诱发了类似失语症的言语症状。在第二部分中,在阅读和阅读障碍研究领域进一步探讨了在研究过程中通过实验诱发类似障碍症状的想法。在此,同样基于行为和神经功能数据认为,这种方法至少在两个方面具有优势:1. 与临床环境相比,它能对实验因素和混杂因素进行更严格的控制。2. 在实际招募选定的(有时很罕见)患者之前,可以对健康志愿者进行全面的实验试点。可以得出结论,在易于获取的健康志愿者中对类似障碍症状进行实验模拟,可能是基于该障碍的人类神经认知模型来理解语言障碍新方面的一种有用方法。