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情感神经科学对成瘾治疗的贡献:社会本能、愉悦感与探索欲的作用

Affective Neuroscience Contributions to the Treatment of Addiction: The Role of Social Instincts, Pleasure and SEEKING.

作者信息

Flores Mosri Daniela

机构信息

Department of Psychology, Psychoanalytic Psychotherapy, Neuropsychoanalysis, Universidad Intercontinental, Mexico City, Mexico.

出版信息

Front Psychiatry. 2021 Nov 23;12:761744. doi: 10.3389/fpsyt.2021.761744. eCollection 2021.

Abstract

Addiction is an illness prevalent in the worldwide population that entails multiple health risks. Because of the nature of addictive disorders, users of drugs seldom look for treatment and when they do, availability can be difficult to access. Permanence in treatment and its outcomes vary from case to case. Most models work from a multidisciplinary approach that tackles several dimensions of addictive disorders. However, the different etiological factors claim for a personalized treatment to enhance opportunities for better results. Problems in relationships with others play an important role in the etiology and the recovery process of addiction. This paper focuses on the social-environmental causes of addiction based on an affective neuroscience approach that attempts to integrate the interplay between social instincts, pleasure, and the SEEKING system in addiction. To advance toward better treatment strategies, it is pertinent to understand the limitations of the current multidisciplinary models. Acknowledging the social nature of the human brain may help to identify the quality of different types of traumatic early life experiences in drug users and how to address them in what may become a neuropsychoanalytic treatment of addiction.

摘要

成瘾是一种在全球人口中普遍存在的疾病,会带来多种健康风险。由于成瘾性障碍的性质,吸毒者很少寻求治疗,即便寻求治疗,也可能难以获得治疗资源。治疗的持久性及其效果因案例而异。大多数治疗模式采用多学科方法,应对成瘾性障碍的多个维度。然而,不同的病因需要个性化治疗,以增加获得更好治疗效果的机会。人际关系问题在成瘾的病因和康复过程中起着重要作用。本文基于情感神经科学方法,聚焦成瘾的社会环境成因,该方法试图整合社会本能、愉悦感和成瘾中的寻求系统之间的相互作用。为了推进更好的治疗策略,了解当前多学科模式的局限性至关重要。认识到人类大脑的社会性,可能有助于识别吸毒者早期不同类型创伤性生活经历的性质,以及如何在可能成为成瘾神经精神分析治疗的过程中应对这些经历。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b369/8649919/586c7ce1017e/fpsyt-12-761744-g0001.jpg

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