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欢迎生物学突破,提供社会心理见解。

Welcome biological breakthroughs, supply psychosocial insights.

作者信息

Tekkalaki Bheemsain, Tripathi Adarsh, Trivedi J K

机构信息

Assistant Professor of Psychiatry, Navodaya Medical College, Raichur, Karnataka - 584 121, India.

Assistant Professor, Department of Psychiatry, King George Medical University, Lucknow - 226 003, Uttar Pradesh, India.

出版信息

Mens Sana Monogr. 2014 Jan;12(1):79-91. doi: 10.4103/0973-1229.130315.

Abstract

Human behaviour, emotions, and cognition are complex to understand and explain. It is even more difficult to understand the basis for abnormal behaviour, disturbed emotions, and impaired cognitions, something mental health professionals are trying for long. In these pursuits, psychiatry has traversed through eras of humours, witchcraft, spirits, psychoanalysis, and gradually deviated from other medical specialities. Now, with recent biological breakthroughs like advances in psychopharmacology, neuroimaging and genetics, increasingly more emphasis is being given to the biological model of psychiatric disorders. These new biological models have given a more scientific appearance to the speciality. It has also revolutionised the management strategies and outcome of many psychiatric disorders. However, this rapid development in biological understanding of psychiatry also leads to a new wave of reductionism. In an attempt to deduce everything in terms of neurons, neurochemicals, and genes, can we neglect psychosocial aspects of mental health? Patients' personality, expectations, motives, family background, sociocultural backgrounds continue to affect mental health no matter how much 'biological' psychiatry gets. Biological and psychosocial approaches are not mutually exclusive but complementary. Integrating them harmoniously is the skill psychiatry demands for comprehensive understanding of mental and behavioural disorders.

摘要

人类行为、情感和认知难以理解和解释。理解异常行为、紊乱情绪和受损认知的基础更是难上加难,心理健康专业人士长期以来一直在努力。在这些探索中,精神病学经历了体液学说、巫术、神灵、精神分析等时代,并逐渐与其他医学专科分道扬镳。如今,随着精神药理学、神经影像学和遗传学等近期生物学突破,越来越多的重点放在了精神障碍的生物学模型上。这些新的生物学模型使该专科显得更加科学。它还彻底改变了许多精神障碍的管理策略和治疗结果。然而,精神病学在生物学理解方面的这种快速发展也引发了新一轮的还原论。为了从神经元、神经化学物质和基因的角度推断一切,我们能忽视心理健康的社会心理方面吗?无论“生物”精神病学发展到何种程度,患者的个性、期望、动机、家庭背景、社会文化背景都会继续影响心理健康。生物学方法和社会心理方法并非相互排斥,而是相辅相成的。将它们和谐地整合起来是精神病学全面理解精神和行为障碍所需的技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2385/4037903/bca9876b1481/MSM-12-79-g002.jpg

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