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恐惧消除的心理学视角

Fear Extinction as a Psychologist Views It.

机构信息

Brain and Cognition, KU Leuven, Leuven, Belgium.

Leuven Brain Institute, Leuven, Belgium.

出版信息

Curr Top Behav Neurosci. 2023;64:3-18. doi: 10.1007/7854_2023_433.

Abstract

Fear extinction is a topic of central importance in translational neuroscience. It integrates knowledge from various disciplines, including clinical psychology, experimental psychology, psychiatry, cellular and systems neuroscience, and pharmacology. The experimental phenomenon of extinction was first discovered by Ivan P. Pavlov more than 100 years ago and still forms the basis for investigating the psychological and physiological mechanisms that drive extinction of fear. Here, I present old and new ways to think about fear conditioning and extinction from a psychologist's point of view. Extinction is a simple phenomenon with a complex machinery. Enhancing the behavioral analysis of extinction is necessary to advance research in neighboring disciplines as well and to increase our chances to develop extinction enhancers that might further improve efficacy of extinction-based therapies to treat dysfunctional fears. For that purpose, I address a number of fundamental questions in this chapter to clarify psychological viewpoints on the process of fear extinction. What is extinction? What is an association? What is fear? What can we learn from fear extinction? My goal is to reinforce critical thinking about basic assumptions underlying fear extinction and to open up new avenues for further research.

摘要

恐惧消退是转化神经科学的一个核心议题。它整合了来自多个学科的知识,包括临床心理学、实验心理学、精神病学、细胞和系统神经科学以及药理学。消退的实验现象是由伊凡·彼德罗维奇·巴甫洛夫(Ivan P. Pavlov)在 100 多年前首次发现的,至今仍然是研究驱动恐惧消退的心理和生理机制的基础。在这里,我从心理学家的角度介绍了关于恐惧条件作用和消退的一些旧的和新的思路。消退是一个简单的现象,但其背后的机制却非常复杂。增强对消退的行为分析对于推进相邻学科的研究以及提高我们开发出可能进一步提高基于消退的治疗方法疗效的消退增强剂的机会是必要的,从而治疗功能失调的恐惧。为此,我在这一章中提出了一些基本问题,以澄清对恐惧消退过程的心理学观点。什么是消退?什么是关联?什么是恐惧?我们可以从恐惧消退中学到什么?我的目标是加强对恐惧消退的基本假设的批判性思维,并为进一步的研究开辟新的途径。

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