The George Washington University, Washington, DC.
Center for Autism Research, Children's Hospital of Philadelphia, Pennsylvania, and the Perelman School of Medicine, The University of Pennsylvania, Philadelphia.
J Am Acad Child Adolesc Psychiatry. 2020 Nov;59(11):1212-1214. doi: 10.1016/j.jaac.2019.11.027. Epub 2020 Jun 15.
Navigating social interactions and relationships is a complex endeavor. The successful management of these activities calls upon a variety of underlying biological and behavioral mechanisms that are contextualized by environmental demands. Social challenges can arise for many different reasons, but autism spectrum disorder (ASD) is the prototypical disorder of social behavior. That being stated, clinically significant interference with social functioning is shared across a variety of neurodevelopmental and psychiatric conditions. Recognition of the cross-cutting nature of social impairments and deficits in other domains (eg, Cognitive Systemds and Sensorimotor Systems) led to the formation of the Research Domain Criteria (RDoC) initiative from the National Institute of Mental Health (NIMH). RDoC was proposed as an alternative framework to studying psychiatric conditions. RDoC emphasizes enhancing knowledge on the nature of psychiatric conditions in terms of varying degrees of dysfunction across general biological and psychological systems irrespective of traditional psychiatric diagnoses. The RDoC domains were created through consensus agreement from content-area expert scientists. One such domain, Systems for Social Processes, inclues the following proposed constituent constructs: (1) Attachment and Affiliation; (2) Social Communication (subdivided into Production of Facial Communication and Production of Non-Facial Communication); and (3) Perception and Understanding of Mental States. However, this domain has yet to be formally validated.
社交互动和关系的处理是一项复杂的任务。成功管理这些活动需要多种潜在的生物和行为机制,这些机制受到环境需求的影响。社交挑战可能有多种不同的原因,但自闭症谱系障碍(ASD)是社交行为的典型障碍。尽管如此,在各种神经发育和精神疾病中,都存在与社交功能严重障碍相关的情况。人们认识到其他领域(如认知系统和感觉运动系统)的社交障碍和缺陷具有交叉性质,这导致了美国国立精神卫生研究院(NIMH)发起了研究领域标准(RDoC)倡议。RDoC 被提议作为研究精神疾病的替代框架。RDoC 强调增强对精神疾病性质的认识,即无论传统的精神诊断如何,一般生物和心理系统都存在不同程度的功能障碍。RDoC 领域是通过内容领域专家科学家的共识协议创建的。其中一个领域,即社交过程系统,包括以下拟议的构成结构:(1)依恋和隶属关系;(2)社交沟通(细分为面部沟通和非面部沟通的产生);以及(3)心理状态的感知和理解。然而,这个领域尚未得到正式验证。