Cognitive Neurophysiology, Department of Child and Adolescent Psychiatry, Faculty of Medicine, Technische Universität Dresden (TU Dresden), 01307 Dresden, Germany.
Department of Child and Adolescent Psychiatry and Psychotherapy, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden (TU Dresden), 01069 Dresden, Germany.
Int J Environ Res Public Health. 2021 Oct 22;18(21):11126. doi: 10.3390/ijerph182111126.
Efficient transfer of concepts and mechanistic insights from the cognitive to the health sciences and back requires a clear, objective description of the problem that this transfer ought to solve. Unfortunately, however, the actual descriptions are commonly penetrated with, and sometimes even motivated by, cultural norms and preferences, a problem that has colored scientific theorizing about behavioral control-the key concept for many psychological health interventions. We argue that ideologies have clouded our scientific thinking about mental health in two ways: by considering the societal utility of individuals and their behavior a key criterion for distinguishing between healthy and unhealthy people, and by dividing what actually seem to be continuous functions relating psychological and neurocognitive underpinnings to human behavior into binary, discrete categories that are then taken to define clinical phenomena. We suggest letting both traditions go and establish a health psychology that restrains from imposing societal values onto individuals, and then taking the fit between behavior and values to conceptualize unhealthiness. Instead, we promote a health psychology that reconstructs behavior that is considered to be problematic from well-understood mechanistic underpinnings of human behavior.
有效的将认知科学的概念和机理见解转移到健康科学,并反其道而行之,需要对这一转移所要解决的问题进行清晰、客观的描述。然而,不幸的是,实际的描述往往受到文化规范和偏好的影响,甚至有时还受到其驱使,这一问题使得关于行为控制的科学理论化(许多心理健康干预的关键概念)出现了偏差。我们认为,意识形态以两种方式影响了我们对心理健康的科学思维:一是将个人及其行为的社会效用视为区分健康和不健康人群的关键标准,二是将实际上似乎是将心理和神经认知基础与人类行为联系起来的连续函数划分为二元离散类别,然后将其用于定义临床现象。我们建议摒弃这两种传统,建立一种健康心理学,避免将社会价值观强加于个人,然后根据行为和价值观之间的契合度来概念化不健康的状态。相反,我们提倡一种健康心理学,它从人类行为的已知机械基础出发,重构被认为是有问题的行为。