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迈向综合临床系统心理学的步骤

Steps Toward an Integrative Clinical Systems Psychology.

作者信息

Tretter Felix, Löffler-Stastka Henriette

机构信息

Bertalanffy Center for the Study of Systems Science, Vienna, Austria.

Department of Psychoanalysis and Psychotherapy, and Teaching Center, Medical University of Vienna, Vienna, Austria.

出版信息

Front Psychol. 2018 Sep 19;9:1616. doi: 10.3389/fpsyg.2018.01616. eCollection 2018.

Abstract

Clinical fields of the "sciences of the mind" (psychotherapy, psychiatry, etc.) lack integrative conceptual frameworks that have explanatory power. Mainly descriptive-classificatory taxonomies like DSM dominate the field. New taxonomies such as Research Domain Criteria (RDoC) aim to collect scientific knowledge regarding "systems" for "processes" of the brain. These terms have a supradisciplinary" meaning if they are considered in context of Systems Science. This field emerges as a platform of theories like general systems theory, catastrophe theory, synergetics, chaos theory, etc. It provides a lot of abstract concepts, constructs, methods and models. We assume that these tools also enable theoretical integration in the diversified field of clinical practice in the sciences of the mind. Additionally, systems thinking in clinical psychology improves conceptual links to currently network-oriented neurobiology. However, clear definitions of systemic terms are necessary to emerge from their mainly metaphorical use. Here we revise mainly terms like "structure", "process" and "dynamics" as they are used already in psychology, psychoanalysis, psychopathology and psychiatry in an ill-defined way. For instance, affective-cognitive structures like "life space" or "object representations" can be seen as products of mental processing. These structures, in turn, modulate dynamics of mental processes. Additionally, we suggest a coupled network concept of emotions and motivations as the main subsystem that modulates mental dynamics that results in a qualitative systemic model of the mind. Finally, we assume that a revisited systemic approach could improve interdisciplinary understanding of the mental.

摘要

“心智科学”(心理治疗、精神病学等)的临床领域缺乏具有解释力的综合概念框架。主要是像《精神疾病诊断与统计手册》(DSM)这样的描述性分类法主导着该领域。诸如研究领域标准(RDoC)等新的分类法旨在收集有关大脑“过程”的“系统”的科学知识。如果从系统科学的背景下来考虑,这些术语具有“超学科”的意义。这个领域作为一般系统理论、突变理论、协同学、混沌理论等理论的平台而出现。它提供了许多抽象概念、结构、方法和模型。我们假设这些工具也能够在心智科学临床实践的多元化领域实现理论整合。此外,临床心理学中的系统思维改善了与当前以网络为导向的神经生物学的概念联系。然而,有必要从主要是隐喻性的用法中明确系统术语的定义。在这里,我们主要修订像“结构”“过程”和“动力学”这样的术语,因为它们在心理学、精神分析、精神病理学和精神病学中已经以定义不明确的方式被使用。例如,像“生活空间”或“客体表征”这样的情感认知结构可以被视为心理加工的产物。反过来,这些结构调节心理过程的动力学。此外,我们提出情感和动机的耦合网络概念作为调节心理动力学的主要子系统,这导致了一个定性的心智系统模型。最后,我们假设一种经过重新审视的系统方法可以增进对心智的跨学科理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5da8/6157403/8c1d147786f7/fpsyg-09-01616-g001.jpg

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