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Current psychopathology models emphasize very early intersubjectivity-based interventions in children to prevent later mental disorders.当前的精神病理学模型强调在儿童中基于主体间性的早期干预,以预防后期的精神障碍。
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2
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本文引用的文献

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Linking RDoC and HiTOP: A new interface for advancing psychiatric nosology and neuroscience.将 RDoC 与 HiTOP 联系起来:推进精神疾病分类学和神经科学的新界面。
Clin Psychol Rev. 2021 Jun;86:102025. doi: 10.1016/j.cpr.2021.102025. Epub 2021 Mar 24.
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Critical period regulation across multiple timescales.多个时间尺度上的关键期调控。
Proc Natl Acad Sci U S A. 2020 Sep 22;117(38):23242-23251. doi: 10.1073/pnas.1820836117. Epub 2020 Jun 5.
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Longitudinal Assessment of Mental Health Disorders and Comorbidities Across 4 Decades Among Participants in the Dunedin Birth Cohort Study.跨越 4 个十年的达尼丁出生队列研究参与者的心理健康障碍和共病的纵向评估。
JAMA Netw Open. 2020 Apr 1;3(4):e203221. doi: 10.1001/jamanetworkopen.2020.3221.
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Early Adversity and Critical Periods: Neurodevelopmental Consequences of Violating the Expectable Environment.早期逆境与关键期:违背可预期环境对神经发育的影响。
Trends Neurosci. 2020 Mar;43(3):133-143. doi: 10.1016/j.tins.2020.01.002. Epub 2020 Feb 12.
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Opportunities for the prevention of mental disorders by reducing general psychopathology in early childhood.通过减少儿童早期一般精神病理学来预防精神障碍的机会。
Behav Res Ther. 2019 Aug;119:103411. doi: 10.1016/j.brat.2019.103411. Epub 2019 May 25.
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How Early Experience Shapes Human Development: The Case of Psychosocial Deprivation.早期经历如何塑造人类发展:心理社会剥夺的案例。
Neural Plast. 2019 Jan 14;2019:1676285. doi: 10.1155/2019/1676285.
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A new therapy for each patient: Evidence-based relationships and responsiveness.为每位患者制定新的治疗方案:基于证据的医患关系和响应性。
J Clin Psychol. 2018 Nov;74(11):1889-1906. doi: 10.1002/jclp.22678. Epub 2018 Oct 18.
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Mentalizing, attachment and epistemic trust: how psychotherapy can promote resilience.心理化、依恋与认知信任:心理治疗如何促进复原力。
Psychiatr Hung. 2017;32(3):283-287.
9
The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies.精神病理学的分层分类法(HiTOP):传统分类法的维度替代方案。
J Abnorm Psychol. 2017 May;126(4):454-477. doi: 10.1037/abn0000258. Epub 2017 Mar 23.
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Intentional research design in implementation science: implications for the use of nomothetic and idiographic assessment.实施科学中的意向性研究设计:对使用通则性和独特性评估的启示。
Transl Behav Med. 2017 Sep;7(3):567-580. doi: 10.1007/s13142-017-0464-6.

当前的精神病理学模型强调在儿童中基于主体间性的早期干预,以预防后期的精神障碍。

Current psychopathology models emphasize very early intersubjectivity-based interventions in children to prevent later mental disorders.

作者信息

Ouss Lisa

机构信息

Child and Adolescent Psychiatry Department, Necker-Enfants Malades Hospital, APHP, Paris, France.

出版信息

Front Psychol. 2024 Jan 24;14:1225108. doi: 10.3389/fpsyg.2023.1225108. eCollection 2023.

DOI:10.3389/fpsyg.2023.1225108
PMID:38327508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10847237/
Abstract

Current psychopathology models have evolved toward dimensional models, in which symptoms and diseases are at the extremes of dimensions. Despite these new dimensional proposals, classifications and third-person approach have shown limitations. Their extraordinary evolution nevertheless underlines the contributions of developmental and psychodynamic frameworks. Developmental contributions have made it possible to evolve from disorders centered on a first-person perspective. Complementarily to the first-person/third-person perspectives, we advocate a second-person perspective, based on intersubjectivity. This perspective reverses the intuitive trend to focus our interventions on the most specific symptoms and syndromes, and advocates instead interventions on a "p" general factor that are both generalized and highly targeted. The implications are (1) to intervene as early as possible, (2) to base the definition of our therapeutic targets on an intersubjective perspective, (3) to identify and enhance children's and parents' strengths. These empirically informed directions are not in the current mainstream of psychopathology frameworks, and need to be developed.

摘要

当前的精神病理学模型已朝着维度模型发展,在该模型中,症状和疾病处于维度的两端。尽管有这些新的维度提议,但分类法和第三人称方法已显示出局限性。然而,它们的非凡发展凸显了发展心理学和心理动力学框架的贡献。发展心理学的贡献使从以第一人称视角为中心的障碍发展成为可能。作为对第一人称/第三人称视角的补充,我们倡导基于主体间性的第二人称视角。这种视角扭转了将干预重点放在最具体症状和综合征上的直观趋势,而是主张对一个既具有普遍性又具有高度针对性的“p”一般因素进行干预。其影响包括:(1)尽早进行干预;(2)基于主体间性视角来定义我们的治疗目标;(3)识别并增强儿童和家长的优势。这些基于实证的方向并不在当前精神病理学框架的主流范围内,需要进一步发展。