Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada,
Neuropsychobiology. 2021;80(2):101-133. doi: 10.1159/000513688. Epub 2021 Mar 15.
BACKGROUND/AIMS: Progress in the development of DSM/ICD taxonomies has revealed limitations of both label-based and dimensionality approaches. These approaches fail to address the contingent, nonlinear, context-dependent, and transient nature of those biomarkers linked to specific symptoms of psychopathology or to specific biobehavioural traits of healthy people (temperament). The present review aims to highlight the benefits of a functional constructivism approach in the analysis of neurochemical biomarkers underlying temperament and psychopathology.
A review was performed.
Eight systems are identified, and 7 neurochemical ensembles are described in detail. None of these systems is represented by a single neurotransmitter; all of them work in ensembles with each other. The functionality and relationships of these systems are presented here in association with their roles in action construction, with brief examples of psychopathology. The review introduces formal symbols for these systems to facilitate their more compact analysis in the future.
This analysis demonstrates the possibility of constructivism-based unifying taxonomies of temperament (in the framework of the neurochemical model functional ensemble of temperament) and classifications of psychiatric disorders. Such taxonomies would present the biobehavioural individual differences as consistent behavioural patterns generated within a formally structured space of parameters related to the generation of behaviour.
背景/目的:DSM/ICD 分类法的发展进展揭示了基于标签和维度方法的局限性。这些方法未能解决与特定精神病理学症状或特定健康人群(气质)的生物行为特征相关的生物标志物的偶然、非线性、上下文相关和瞬态性质。本综述旨在强调功能建构主义方法在分析气质和精神病理学的神经化学生物标志物中的优势。
进行了综述。
确定了 8 个系统,并详细描述了 7 个神经化学组合。这些系统都不是由单一的神经递质代表的;它们彼此之间都以组合的形式运作。在这里,这些系统的功能和关系与其在行动构建中的作用相关联,同时简要介绍了精神病理学的例子。本综述为这些系统引入了形式符号,以方便将来更紧凑地进行分析。
该分析表明,基于建构主义的气质统一分类法(在气质的神经化学模型功能组合框架内)和精神障碍分类法是可行的。这些分类法将生物行为个体差异呈现为在与行为生成相关的参数正式结构化空间内生成的一致行为模式。