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在心理健康临床实践中将自闭症理解为一种病症:青少年早期精神病服务的临床视角

Understanding Autism as a Condition in Mental Health Clinical Practice: Clinical Perspectives from a Youth Early Psychosis Service.

作者信息

Porter Caillin, Whitehead Richard, Hopkins Liza

机构信息

Alfred Health Headspace, Melbourne, Australia.

Deakin University, Melbourne, Australia.

出版信息

Community Ment Health J. 2025 Jan 8. doi: 10.1007/s10597-024-01433-w.

Abstract

Autism is a rapidly growing phenomenon, with rates of diagnosed autism in the community rising every decade. Autism and traits of autism are also regularly part of presentation at youth mental health services, including early psychosis services. In early psychosis services young people's symptoms tend to be formulated through a psychosis lens, rather than a neurodevelopmental lens which can lead to unnecessary medicalised treatment, and treatment plans that do not consider the possible impact of neurodiversity. The following paper explores autism and traits of autism in relation to youth early psychosis, examining the complexity in accurate formulation, and the possible impacts for young people. Future directions for how services can address this issue and more effectively tailor treatment to young people are also discussed.

摘要

自闭症是一种迅速增长的现象,社区中被诊断出自闭症的比例每十年都在上升。自闭症及自闭症特质也是青少年心理健康服务机构(包括早期精神病服务机构)常见的就诊表现。在早期精神病服务中,年轻人的症状往往是通过精神病的视角来阐述的,而不是从神经发育的视角,这可能导致不必要的医学化治疗,以及未考虑神经多样性可能影响的治疗方案。以下论文探讨了与青少年早期精神病相关的自闭症及自闭症特质,审视了准确诊断中的复杂性,以及对年轻人可能产生的影响。还讨论了服务机构如何解决这一问题并更有效地为年轻人量身定制治疗方案的未来方向。

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