回避的诞生、消亡与复苏:对一个陷入困境的范式的重新概念化
The birth, death and resurrection of avoidance: a reconceptualization of a troubled paradigm.
作者信息
LeDoux J E, Moscarello J, Sears R, Campese V
机构信息
Center for Neural Science, New York University, New York, NY, USA.
Nathan Kline Institute, Orangeburg, NY, USA.
出版信息
Mol Psychiatry. 2017 Jan;22(1):24-36. doi: 10.1038/mp.2016.166. Epub 2016 Oct 18.
Research on avoidance conditioning began in the late 1930s as a way to use laboratory experiments to better understand uncontrollable fear and anxiety. Avoidance was initially conceived of as a two-factor learning process in which fear is first acquired through Pavlovian aversive conditioning (so-called fear conditioning), and then behaviors that reduce the fear aroused by the Pavlovian conditioned stimulus are reinforced through instrumental conditioning. Over the years, criticisms of both the avoidance paradigm and the two-factor fear theory arose. By the mid-1980s, avoidance had fallen out of favor as an experimental model relevant to fear and anxiety. However, recent progress in understanding the neural basis of Pavlovian conditioning has stimulated a new wave of research on avoidance. This new work has fostered new insights into contributions of not only Pavlovian and instrumental learning but also habit learning, to avoidance, and has suggested that the reinforcing event underlying the instrumental phase should be conceived in terms of cellular and molecular events in specific circuits rather than in terms of vague notions of fear reduction. In our approach, defensive reactions (freezing), actions (avoidance) and habits (habitual avoidance) are viewed as being controlled by unique circuits that operate nonconsciously in the control of behavior, and that are distinct from the circuits that give rise to conscious feelings of fear and anxiety. These refinements, we suggest, overcome older criticisms, justifying the value of the new wave of research on avoidance, and offering a fresh perspective on the clinical implications of this work.
回避条件作用的研究始于20世纪30年代末,作为一种利用实验室实验来更好地理解无法控制的恐惧和焦虑的方法。回避最初被认为是一个双因素学习过程,其中恐惧首先通过巴甫洛夫厌恶条件作用(所谓的恐惧条件作用)习得,然后通过工具性条件作用强化那些减少由巴甫洛夫条件刺激引起的恐惧的行为。多年来,对回避范式和双因素恐惧理论都出现了批评。到20世纪80年代中期,回避作为一种与恐惧和焦虑相关的实验模型已不再受欢迎。然而,近年来在理解巴甫洛夫条件作用的神经基础方面取得的进展激发了对回避的新一轮研究。这项新工作不仅对巴甫洛夫学习和工具性学习,而且对习惯学习在回避中的作用有了新的认识,并表明工具性阶段的强化事件应根据特定回路中的细胞和分子事件来理解,而不是根据恐惧减轻的模糊概念。在我们的方法中,防御反应(僵住)、行为(回避)和习惯(习惯性回避)被视为由独特的回路控制,这些回路在行为控制中无意识地运作,并且与产生恐惧和焦虑的有意识感觉的回路不同。我们认为,这些改进克服了以往的批评,证明了回避研究新一波浪潮的价值,并为这项工作的临床意义提供了新的视角。