Onchev Georgi
Department of Psychiatry and Medical Psychology, Medical University Sofia, Sofia, Bulgaria.
Front Psychiatry. 2021 May 20;12:676492. doi: 10.3389/fpsyt.2021.676492. eCollection 2021.
Accelerated culture transition and contemporary post-truth mass cognitive distortions contribute to cognitive insecurity and substitution of facts with opinions. In this paper the impact of these changes on normal psyche and on psychopathological manifestations and mental health care is described. The consequences include drop of mental resilience, pathomorphosis of some clinical pictures, blurring of diagnostic boundaries, mimicry of psychopathology, and overdiagnosis. Their repercussions on mental health care and professional integrity are discussed, and particularly the need for shift of mental health care focus from protection to resilience is disputed.
加速的文化转变和当代后真相时代的大众认知扭曲导致认知不安全感以及事实被观点所取代。本文描述了这些变化对正常心理、精神病理表现和精神卫生保健的影响。其后果包括心理复原力下降、一些临床症状的病理形态改变、诊断界限模糊、精神病理学的模仿以及过度诊断。文中讨论了它们对精神卫生保健和职业操守的影响，特别是对精神卫生保健重点从保护转向复原力的必要性提出了质疑。
