Jones Payton J, Robinaugh Donald R
Department of Psychology Harvard University, Cambridge, MA (Jones); Center for Anxiety and Traumatic Stress, Massachusetts General Hospital, Boston, MA (Jones, Robinaugh).
Focus (Am Psychiatr Publ). 2021 Jun;19(2):204-210. doi: 10.1176/appi.focus.20200050. Epub 2020 Jun 17.
Research and practice in psychiatry and clinical psychology have been guided by differing schools of thought over the years. Recently, the network theory of psychopathology has arisen as a framework for thinking about mental health. Network theory challenges three common assumptions: psychological problems are caused by disease entities that exist independently of their signs and symptoms, classification and diagnosis of psychological problems should follow a medical model, and psychological problems are caused by diseases or aberrations in the brain. Conversely, network theory embraces other assumptions that are well accepted in clinical practice (e.g., the interaction of thoughts, behaviors, and emotions, as posited in cognitive-behavioral therapies) and integrates those assumptions into a coherent framework for research and practice. In this article, the authors review developments in network theory by focusing on anxiety-related conditions, discuss future areas for change, and outline implications of network theory for research and clinical practice.
多年来,精神病学和临床心理学的研究与实践一直受到不同思想流派的指导。最近,精神病理学的网络理论作为一种思考心理健康的框架应运而生。网络理论挑战了三个常见假设:心理问题是由独立于其体征和症状而存在的疾病实体引起的;心理问题的分类和诊断应遵循医学模式;心理问题是由大脑中的疾病或异常引起的。相反,网络理论接受了临床实践中被广泛认可的其他假设(例如,认知行为疗法中所假定的思想、行为和情感的相互作用),并将这些假设整合到一个连贯的研究和实践框架中。在本文中,作者通过聚焦与焦虑相关的病症来回顾网络理论的发展,讨论未来可能发生变化的领域,并概述网络理论对研究和临床实践的影响。