Freund Inga Marie, Arntz Arnoud, Visser Renée M, Kindt Merel
Department of Psychology, University of Amsterdam, Amsterdam, the Netherlands.
Department of Psychology, University of Amsterdam, Amsterdam, the Netherlands.
Behav Res Ther. 2022 Sep;156:104154. doi: 10.1016/j.brat.2022.104154. Epub 2022 Jul 8.
Clinical psychology finds itself with a paradox: On the one hand, there is abundant empirical evidence showing that aversive experiences increase the risk for psychopathology. In fact, a learning and memory framework forms the foundation of numerous psychological theories and treatments. For example, various CBT approaches aim to target maladaptive emotional memories (e.g., schemas or cognitions) that are deemed to lie at the core of mental health conditions. On the other hand, a new approach - the network theory - is gaining ground, which ignores underlying causes for mental disorders and instead dictates a focus on symptoms and their causal interactions. While radical shifts are sometimes necessary in science, we argue why completely neglecting common causes, such as emotional memory, is not justified. We critically discuss the strengths and limitations of the network approach: While its transdiagnostic nature and recognition of symptom interactions have the potential to invigorate the field, the framework is merely descriptive, its concepts not well defined, and its clinical utility still to be established. To move forward, we propose an incorporation of latent constructs into the network model, starting with clearer definitions and operationalisations of concepts in both network and latent variable models.
一方面,有大量实证证据表明,厌恶经历会增加精神病理学风险。事实上,学习和记忆框架构成了众多心理学理论和治疗方法的基础。例如,各种认知行为疗法(CBT)方法旨在针对被认为是心理健康问题核心的适应不良情绪记忆(如图式或认知)。另一方面,一种新的方法——网络理论——正在兴起,它忽略了精神障碍的潜在原因,而是规定专注于症状及其因果相互作用。虽然科学有时需要彻底转变,但我们认为,完全忽视诸如情绪记忆等共同原因是不合理的。我们批判性地讨论了网络方法的优点和局限性:虽然其跨诊断性质和对症状相互作用的认识有可能振兴该领域,但该框架只是描述性的,其概念定义不明确,其临床效用仍有待确立。为了取得进展,我们建议将潜在结构纳入网络模型,首先在网络模型和潜在变量模型中对概念进行更清晰的定义和操作化。