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神经影像学和基于大脑的标志物:识别与犯罪行为、人格障碍和心理健康相关的神经生物学标志物的叙述性综述。

Neuroimaging and Brain-Based Markers Identifying Neurobiological Markers Associated With Criminal Behaviour, Personality Disorders, and Mental Health: A Narrative Review.

作者信息

Al-Juhani Abdulkreem, Alzahrani Mohammed J, Abdullah A Zainab, Alnefaie Abdulrahman N, Alnowaisser Lajeen N, Alhadi Wajd, Alghamdi Joud K, Bauthman Moayyad S

机构信息

Surgery, King Abdulaziz University Faculty of Medicine, Jeddah, SAU.

Medicine, King Abdulaziz University Faculty of Medicine, Jeddah, SAU.

出版信息

Cureus. 2024 Apr 23;16(4):e58814. doi: 10.7759/cureus.58814. eCollection 2024 Apr.

Abstract

We begin the review by pointing to the common stigma associated with mental health issues, which often derives from a lack of understanding or incomplete knowledge. Neurobiological research provides us with a new lens to help challenge and dispel common assumptions and misunderstandings and gives an understanding of sexual behaviours that influence society. As such, it generates substantial evidence for the structural and functional asymmetry of the brains of individuals with mental disorders. However, this type of representation poses many challenges to traditional thinking and constantly provokes change in perspective and empathy towards those individuals. In the review, we go deeper into the effects of neurobiological findings on understanding criminal behaviours and personality disorders, looking further beyond behavioural health. These problems, which were once mainly discussed as moral ones or viewed from the perspective of character flaws, are analysed today through neurological considerations pointing to their complexity. When the root of bipolar disorder is revealed to be neurological, society will react with more information and understanding, hence reducing the stigmatisation and discrimination meted out to people with these problems. At a macro level, findings from neurobiology affect society in ways that go beyond individuals; social attitudes, laws, and policies about the services rendered are influenced. Operating as a catalyst within the community, neurobiological research helps to initiate social change through the creation of an informed, understanding public forum. Thus, it creates broader value for those dealing with behavioural and mental health challenges. The first and most important question of this narrative review is focused on identifying identifiable neurobiological markers that are closely related to criminal conduct, personality disorders, and mental health disorders. Through this review, we aim to present detailed insights into the neurological foundations that anchor these phenomena via a narrative analysis of contemporary literature. The potential implications are finding problems early to apply specific treatment and learning an advanced strategy for social attitudes. This will promote a more humanistic approach based on adequate information on the behavioural and mental health issues involved.

摘要

我们在回顾开始时指出,心理健康问题往往伴随着常见的污名化现象,这通常源于缺乏理解或知识不完整。神经生物学研究为我们提供了一个新的视角,有助于挑战和消除常见的假设与误解,并让我们理解影响社会的性行为。因此,它为精神障碍患者大脑的结构和功能不对称提供了大量证据。然而,这种表述对传统思维提出了诸多挑战,并不断促使人们改变对这些人的看法和同理心。在本综述中,我们将更深入地探讨神经生物学研究结果对理解犯罪行为和人格障碍的影响,进一步超越行为健康的范畴。这些问题曾经主要被当作道德问题来讨论,或者从性格缺陷的角度看待,如今则通过神经学考量来分析,揭示其复杂性。当双相情感障碍的根源被揭示为神经学原因时,社会将以更多的信息和理解做出反应,从而减少对有这些问题的人的污名化和歧视。在宏观层面,神经生物学的研究结果以超越个体的方式影响社会;社会对所提供服务的态度、法律和政策都会受到影响。神经生物学研究在社区中起到催化剂的作用,通过创建一个有见识、能理解的公共论坛来帮助启动社会变革。因此,它为应对行为和心理健康挑战的人们创造了更广泛的价值。本叙述性综述的首要也是最重要的问题聚焦于识别与犯罪行为、人格障碍和精神健康障碍密切相关的可识别神经生物学标志物。通过本综述,我们旨在通过对当代文献的叙述性分析,详细洞察支撑这些现象的神经学基础。其潜在意义在于尽早发现问题以应用特定治疗方法,并学习应对社会态度的先进策略。这将基于对相关行为和心理健康问题的充分信息,促进一种更具人文关怀的方法。

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