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发展性精神病理学迎来50周年:将核心原则应用于女孩多动症的纵向研究及减少污名和歧视的努力。

Developmental psychopathology turns 50: Applying core principles to longitudinal investigation of ADHD in girls and efforts to reduce stigma and discrimination.

作者信息

Hinshaw Stephen P, Porter Patricia A, Ahmad Shaikh I

机构信息

University of California, Berkeley, CA, USA.

University of California, San Francisco, CA, USA.

出版信息

Dev Psychopathol. 2024 Dec;36(5):2570-2584. doi: 10.1017/S0954579424000981. Epub 2024 Aug 27.

DOI:10.1017/S0954579424000981
PMID:39188249
Abstract

The seminal contributions of Dante Cicchetti to the field/paradigm/metaparadigm of developmental psychopathology (DP) - and its continuing ascendance as a guiding force for multidisciplinary investigation of normative and atypical development - are legion. Our aim is to illustrate a number of DP's core principles in the context of (a) prospective longitudinal research on children (particularly girls) with attention-deficit hyperactivity disorder and (b) theoretical and empirical work dedicated to alleviating the stigma and discrimination toward those experiencing mental health, substance use, and neurodevelopmental challenges. We feature (i) the mutual interplay of perspectives on normative and non-normative development, (ii) reciprocal and transactional processes, and the constructs of and ; (iii) continuities and discontinuities in developmental processes and outcomes, with particular focus on ; (iv) the inseparability of heritable and environmental risk; (v) multiple levels of analysis, and (vi) the benefits of qualitative perspectives. We highlight that interventions promoting recovery, along with the multi-level facilitation of protective factors/strengths, lie at the heart of both DP and anti-stigma efforts. The ongoing youth mental-health crisis provides a sobering counterpoint to the gains of the DP enterprise over the past half century.

摘要

但丁·西凯提对发展性心理病理学领域/范式/元范式的开创性贡献——以及它作为规范和非典型发展多学科研究的指导力量持续崛起——不胜枚举。我们的目的是在以下背景下阐述发展性心理病理学的一些核心原则:(a) 对患有注意力缺陷多动障碍的儿童(尤其是女孩)进行前瞻性纵向研究;(b) 致力于减轻对那些经历心理健康、物质使用和神经发育挑战的人的污名化和歧视的理论和实证工作。我们重点介绍:(i) 规范和非规范发展视角的相互作用;(ii) 互惠和交互过程,以及[此处缺失两个未明确的结构]的结构;(iii) 发展过程和结果中的连续性和不连续性,特别关注[此处缺失相关内容];(iv) 遗传和环境风险的不可分割性;(v) 多层次分析;以及(vi) 定性视角的益处。我们强调,促进康复的干预措施以及对保护因素/优势的多层次促进,是发展性心理病理学和反污名化努力的核心。当前的青少年心理健康危机与发展性心理病理学事业在过去半个世纪取得的成果形成了令人警醒的对比。

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