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精神障碍的本质主义偏见:精神障碍被认为是先天的。

Essentialist Biases Toward Psychiatric Disorders: Brain Disorders Are Presumed Innate.

机构信息

Department of Psychology, Northeastern University.

出版信息

Cogn Sci. 2021 Apr;45(4):e12970. doi: 10.1111/cogs.12970.

Abstract

A large campaign has sought to destigmatize psychiatric disorders by disseminating the view that they are in fact brain disorders. But when psychiatric disorders are associated with neurobiological correlates, laypeople's attitudes toward patients are harsher, and the prognoses seem poorer. Here, we ask whether these misconceptions could result from the essentialist presumption that brain disorders are innate. To this end, we invited laypeople to reason about psychiatric disorders that are diagnosed by either a brain or a behavioral test that were strictly matched for their informative value. Participants viewed disorders as more likely to be innate and immutable when the diagnosis was supported by a brain test as compared to a behavioral test. These results show for the first time that people spontaneously essentialize psychiatric conditions that are linked to the brain, even when the brain probe offers no additional diagnostic or genetic information. This bias suggests that people consider the biological essence of living things as materially embodied.

摘要

一场大型运动试图通过传播精神病实际上是大脑疾病的观点来消除对其的污名化。但是,当精神疾病与神经生物学相关物相关联时,非专业人士对患者的态度会更加苛刻,预后似乎也更差。在这里,我们想知道这些误解是否可能源于一个本质主义的假设,即大脑疾病是与生俱来的。为此,我们邀请了非专业人士对通过大脑测试或行为测试诊断出的精神疾病进行推理,这两种测试在信息价值上是严格匹配的。与行为测试相比,当诊断结果得到大脑测试支持时,参与者认为疾病更有可能是与生俱来的和不可改变的。这些结果首次表明,即使大脑探测提供了额外的诊断或遗传信息,人们也会自发地将与大脑相关的精神疾病本质化。这种偏见表明,人们认为生物的生物学本质是物质体现的。

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