Hens K
Tijdschr Psychiatr. 2020;62(11):976-980.
The fact that environmental factors and lifestyle play a role in mental health is well known. In the last decades more research has gone into the link between environment and genetics: epigenetics has shown us the molecular link between these two, and the influence of the microbiome on mental health has demonstrated the importance of food. Still, ethical questions remain about how lifestyle advice can be integrated in clinical practice in an ethical way.
AIM: To describe the normative import of our view on biology and individual responsibility and the place of lifestyle in the debate.
METHOD: A consideration of ethical aspects of lifestyle and lifestyle advice.
RESULTS: The normative import of our view on biology and individual responsibility and the place of lifestyle in the debate is described. It is argued that lifestyle has a unique place between biological and psychosocial concepts. Finally, the pitfalls and opportunities of introducing lifestyle in clinical practice are shown.
CONCLUSION: Lifestyle is conceptually situated between the biological and the psychosocial, and sheds new light on the importance of certain explanations for recovery, and the relation with specific treatments. Lifestyle advice can only be used optimally in therapy if mental health care professionals also include a dialogue about assumptions and expectations.
环境因素和生活方式对心理健康有影响，这一事实众所周知。在过去几十年里，更多的研究聚焦于环境与基因之间的联系：表观遗传学向我们展示了二者之间的分子联系，而微生物群对心理健康的影响也证明了食物的重要性。然而，关于如何以符合伦理的方式将生活方式建议融入临床实践，伦理问题依然存在。
描述我们对生物学和个人责任的观点的规范性内涵，以及生活方式在这场辩论中的地位。
对生活方式及生活方式建议的伦理方面进行思考。
阐述了我们对生物学和个人责任的观点的规范性内涵，以及生活方式在这场辩论中的地位。有人认为，生活方式在生物学概念和社会心理概念之间有着独特的地位。最后，展示了在临床实践中引入生活方式的陷阱与机遇。
生活方式在概念上处于生物学和社会心理之间，为某些康复解释的重要性以及与特定治疗方法的关系带来了新的启示。只有当精神卫生保健专业人员也纳入关于假设和期望的对话时，生活方式建议才能在治疗中得到最佳利用。
