Centre for Healthy Brain Ageing, University of New South Wales, Sydney, New South Wales, Australia; Dementia Centre for Research Collaboration, University of New South Wales, Sydney, New South Wales, Australia.
School of Psychology, Cardiff University, Cardiff, Wales, United Kingdom.
Conscious Cogn. 2020 May;81:102935. doi: 10.1016/j.concog.2020.102935. Epub 2020 Apr 22.
Cognitive neuropsychiatry is a branch of cognitive psychology that seeks to explain neuropsychiatric symptoms in terms of disruptions or damage to normal cognitive processes. A key objective of this approach is to use insights derived from the study of pathological symptoms to inform accounts of premorbid cognitive systems. Delusions, in particular, can be considered to represent dysfunction of the cognitive processes underlying belief formation, so studying delusions may provide unique insights into nonpathological belief. While this approach has provided compelling accounts for a range of delusions in terms of putative cognitive dysfunctions, it is less clear that it has achieved progress in its reciprocal goal of informing understanding of belief more generally. In this review, we trace the origins of the cognitive neuropsychiatric approach and consider the reasons for the lack of progress. We propose a tentative framework to overcome these challenges and suggest directions for future research.
认知神经精神病学是认知心理学的一个分支，旨在根据正常认知过程的中断或损害来解释神经精神症状。这种方法的一个主要目标是利用从病理性症状研究中得出的见解，为发病前认知系统的解释提供信息。妄想，特别是，可以被认为代表了信念形成所基于的认知过程的功能障碍，因此研究妄想可能为非病理性信念提供独特的见解。虽然这种方法已经为一系列妄想提供了令人信服的解释，认为它们与假定的认知功能障碍有关，但它在其相反的目标——更广泛地告知对信念的理解方面取得进展的情况并不清楚。在这篇综述中，我们追溯了认知神经精神病学方法的起源，并考虑了缺乏进展的原因。我们提出了一个暂定的框架来克服这些挑战，并为未来的研究提出了方向。
