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别责怪模型:重新思考精神病理学的网络方法。

Don't blame the model: Reconsidering the network approach to psychopathology.

机构信息

Department of Psychometrics and Statistics, University of Groningen.

Department of Theory and History of Psychology, University of Groningen.

出版信息

Psychol Rev. 2018 Jul;125(4):606-615. doi: 10.1037/rev0000108.

Abstract

The network approach to psychopathology is becoming increasingly popular. The motivation for this approach is to provide a replacement for the problematic common cause perspective and the associated latent variable model, where symptoms are taken to be mere effects of a common cause (the disorder itself). The idea is that the latent variable model is plausible for medical diseases, but unrealistic for mental disorders, which should rather be conceptualized as networks of directly interacting symptoms. We argue that this rationale for the network approach is misguided. Latent variable (or common cause) models are not inherently problematic, and there is not even a clear boundary where network models end and latent variable (or common cause) models begin. We also argue that focusing on this contrast has led to an unrealistic view of testing and finding support for the network approach, as well as an oversimplified picture of the relationship between medical diseases and mental disorders. As an alternative, we point out more essential contrasts, such as the contrast between dynamic and static modeling approaches that can provide a better framework for conceptualizing mental disorders. Finally, we discuss several topics and open problems that need to be addressed in order to make the network approach more concrete and to move the field of psychological network research forward. (PsycINFO Database Record

摘要

网络方法在精神病理学中越来越受欢迎。这种方法的动机是提供一种替代有问题的共同原因观点和相关潜在变量模型的方法,其中症状被认为仅仅是共同原因(障碍本身)的影响。其想法是,潜在变量模型对于医学疾病是合理的,但对于精神障碍则不现实,精神障碍更应该被概念化为直接相互作用症状的网络。我们认为,这种网络方法的基本原理是有误导性的。潜在变量(或共同原因)模型本身并不是有问题的,甚至没有明确的界限,网络模型结束,潜在变量(或共同原因)模型开始。我们还认为,关注这种对比导致了对网络方法的测试和支持的不切实际的观点,以及对医学疾病和精神障碍之间关系的过于简化的描述。作为替代方案,我们指出了更本质的对比,例如动态和静态建模方法之间的对比,这可以为概念化精神障碍提供更好的框架。最后,我们讨论了一些需要解决的主题和开放性问题,以使网络方法更加具体,并推动心理网络研究领域的发展。

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