Remmers Carina, Michalak Johannes
Vivantes Wenckebach Clinic - Clinic for Psychiatry, Psychotherapy and PsychosomaticsBerlin, Germany; Department of Clinical Psychology, University of HildesheimHildesheim, Germany.
Department of Clinical Psychology, Witten/Herdecke University Witten, Germany.
Front Psychol. 2016 Aug 23;7:1291. doi: 10.3389/fpsyg.2016.01291. eCollection 2016.
Whereas in basic research, intuition has become a topic of great interest, clinical research and depression research in specific have not applied to the topic of intuition, yet. This is astonishing because a well-known phenomenon during depression is that patients have difficulties to judge and decide. In contrast to healthy individuals who take most daily life decisions intuitively (Kahneman, 2011), depressed individuals seem to have difficulties to come to fast and adaptive decisions. The current article pursues three goals. First, our aim is to establish the hypothesis that intuition is impaired in depression against the background of influential theoretical accounts as well as empirical evidence from basic and clinical research. The second aim of the current paper is to provide explanations for recent findings on the depression-intuition interplay and to present directions for future research that may help to broaden our understanding of decision difficulties in depression. Third, we seek to propose ideas on how therapeutic interventions can support depressed individuals in taking better decisions. Even though our knowledge regarding this topic is still limited, we will tentatively launch the idea that an important first step may be to enhance patients' access to intuitions. Overall, this paper seeks to introduce the topic of intuition to clinical research on depression and to hereby set the stage for upcoming theory and practice.
虽然在基础研究中，直觉已成为一个备受关注的话题，但临床研究，尤其是抑郁症研究，尚未涉及直觉这一话题。这令人惊讶，因为抑郁症患者存在判断和决策困难是一个众所周知的现象。与大多数日常生活决策靠直觉的健康个体不同（卡尼曼，2011），抑郁症患者似乎难以快速做出适应性决策。本文有三个目标。首先，我们的目的是在有影响力的理论观点以及基础和临床研究的实证证据的背景下，提出抑郁症患者直觉受损的假设。本文的第二个目的是为近期关于抑郁症与直觉相互作用的研究结果提供解释，并为未来研究指明方向，这可能有助于拓宽我们对抑郁症决策困难的理解。第三，我们试图提出关于治疗干预如何支持抑郁症患者做出更好决策的想法。尽管我们在这个话题上的知识仍然有限，但我们将初步提出一个观点，即重要的第一步可能是增强患者对直觉的获取。总体而言，本文旨在将直觉这一话题引入抑郁症的临床研究，并借此为即将到来的理论和实践奠定基础。
