Meachon Emily J
Faculty of Psychology, University of Basel, Basel, Switzerland.
Front Hum Neurosci. 2023 Jan 6;16:1082209. doi: 10.3389/fnhum.2022.1082209. eCollection 2022.
Developmental Coordination Disorder (DCD) is a heterogeneous neurodevelopmental disorder known for primary symptoms of motor learning and execution difficulties. Recent research has consistently suggested DCD symptoms span broadly beyond motor difficulties, yet a majority of research and practice approaches the investigation, diagnosis, and treatment of DCD with a reductionist framework. Therefore, this paper suggests the paradigm of complexity theory as a means for better conceptualization, assessment, and treatment of DCD. First, the perspective of complexity theory and its relevance to DCD is described. Then, examples from recent research which attempt to acknowledge and capture the complex nature of DCD are highlighted. Finally, suggestions for considering and measuring complexity of DCD in future research and practice are provided. Overall, the perspective of complexity can propel the research forward and improve the understanding of DCD relevant to assessment and treatment. The complexity paradigm is highly relevant to describing the evolving and multidimensional picture of DCD, understanding heterogeneous symptom profiles, making connections to interconnected secondary symptoms, and beyond.
发育性协调障碍(DCD)是一种异质性神经发育障碍,其主要症状为运动学习和执行困难。近期研究一致表明,DCD的症状广泛超出运动困难范畴,但大多数研究和实践仍以还原论框架来研究、诊断和治疗DCD。因此,本文提出将复杂性理论范式作为一种更好地概念化、评估和治疗DCD的方法。首先,阐述复杂性理论的观点及其与DCD的相关性。然后,重点介绍近期研究中试图认识和把握DCD复杂性本质的实例。最后,针对在未来研究和实践中考虑和衡量DCD的复杂性提出建议。总体而言,复杂性视角能够推动研究进展,并增进对与评估和治疗相关的DCD的理解。复杂性范式与描绘DCD不断演变的多维度图景、理解异质性症状谱、关联相互关联的继发症状等高度相关。