Department of Behavioral Sciences & Learning, Linköping University, Linköping.
Centre for Ethics, Law and Mental Health, University of Gothenburg.
Curr Opin Psychiatry. 2023 Jan 1;36(1):60-66. doi: 10.1097/YCO.0000000000000833. Epub 2022 Oct 20.
People and communities around the world face many crises, including increasing burdens from disease, psychopathology, burn-out, social distrust, and acts of hate and terrorism. Personality disorder is arguably both a root cause and a consequence of these problems, creating a vicious cycle of suffering caused by fears, immoderate desires, and social distrust that are inconsistent with rational goals and prosocial values. Fortunately, recent advances in understanding the biopsychosocial basis and dynamics of development in personality and its disorders offer insights to address these problems in effective person-centered ways.
Fundamental advances have been made recently in the understanding of the psychobiology and sociology of personality in relationship to health, and in basic mechanisms of personality change as a complex process of learning and memory. Promotion of self-awareness and intentional self-control releases a strong tendency for people to seek coherence of their emotions and habits with what gives their life meaning and value.
People have a strong drive to cultivate personalities in which their emotions and habits are reliably in accord with reasonable goals and prosocial values. Person-centered therapeutics provide practical ways to promote a virtuous cycle of increasing well being for individuals and their communities and habitats.
世界各地的人们和社区面临着许多危机,包括疾病负担不断增加、精神病理学、倦怠、社会不信任以及仇恨和恐怖主义行为。人格障碍可以说是这些问题的根源和后果,它造成了一个由恐惧、过度欲望和社会不信任引起的恶性循环,这些与理性目标和亲社会价值观不一致。幸运的是,最近对人格及其障碍的生物心理社会基础和发展动态的理解的进步,为以有效、以患者为中心的方式解决这些问题提供了新的视角。
最近在理解人格与健康的关系中的心理生物学和社会学,以及人格变化的基本机制作为一个复杂的学习和记忆过程方面,取得了根本性的进展。促进自我意识和有意的自我控制,释放了人们强烈的倾向,使他们的情绪和习惯与赋予生活意义和价值的事物保持一致。
人们有一种强烈的愿望,希望培养出一种情绪和习惯与合理目标和亲社会价值观相契合的人格。以患者为中心的治疗方法为个人及其社区和栖息地提供了促进良性循环的增加幸福感的实用方法。