青春期的去抑制和去个体化：人格障碍替代模型的发展认知神经科学视角。
Disinhibition and Detachment in Adolescence: A Developmental Cognitive Neuroscience Perspective on the Alternative Model for Personality Disorders.
机构信息
Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA,
Department of Psychology, Pennsylvania State University, University Park, Pennsylvania, USA.
出版信息
Psychopathology. 2020;53(3-4):205-212. doi: 10.1159/000509984. Epub 2020 Aug 10.
Personality pathology often emerges during adolescence, but attempts to understand its neurocognitive basis have traditionally been undermined by problems associated with the categorical classification of personality disorders. In contrast, dimensional models of personality pathology, such as the Alternative Model for Personality Disorders (AMPD) in DSM-5, may provide a stronger foundation for neurobiological investigations of maladaptive individual differences in personality. As an example, we review studies of the adolescent development of reward processing and cognitive control and connect these systems to the normal personality hierarchy and to two dimensions included in the AMPD - Detachment and Disinhibition. We argue that by linking developmental changes in these systems to the AMPD, researchers will be better positioned to understand the relationship between neurocognitive development and the expression of personality pathology in adolescence and early adulthood.
人格障碍通常在青春期出现，但传统上，由于人格障碍的分类问题，人们试图理解其神经认知基础的努力一直受到阻碍。相比之下，人格病理学的维度模型，如 DSM-5 中的替代人格障碍模型 (AMPD)，可能为人格障碍的神经生物学研究提供更坚实的基础。例如，我们回顾了奖励处理和认知控制的青少年发展研究，并将这些系统与正常的人格层次结构以及 AMPD 中的两个维度——分离和去抑制联系起来。我们认为，通过将这些系统的发展变化与 AMPD 联系起来，研究人员将更好地理解神经认知发展与青少年和成年早期人格障碍表现之间的关系。
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