Brinkmann Svend
Department of Communication and Psychology, Aalborg University, Aalborg, Denmark.
Integr Psychol Behav Sci. 2025 Apr 28;59(2):45. doi: 10.1007/s12124-025-09913-8.
This article seeks to formulate a situated approach to mental disorder that overcomes some of the problems of contemporary diagnostic psychiatry. A framework is needed that aims to integrate neuroscientific knowledge about the brain and other aspects of the person with knowledge about the environment. Inspired by the work of researchers such as Thomas Fuchs, Jerome Wakefield, and Dorte Gannik, I articulate four basic principles for a theory of psychopathology as situated, which hopefully point in this direction. These principles state that a theory of psychopathology as situated is relational; that it needs a concept of ecosocial niches; that it has an externalist component; and that it sees the brain as a social organ. The article begins by providing a brief overview of some of the criticism that has recently been leveled at the expanding diagnostic psychiatry from neuroscientific and contextual approaches, and the whole point of integrating these in a situated approach to mental disorder is to find theoretical room for factors related to the brain, mind, and body of the person as well as for the adversities that people are exposed to in their lives.
本文旨在提出一种针对精神障碍的情境化方法，以克服当代诊断精神病学的一些问题。我们需要一个框架，旨在将关于大脑的神经科学知识以及人的其他方面与关于环境的知识整合起来。受托马斯·富克斯、杰罗姆·韦克菲尔德和多特·甘尼克等研究人员工作的启发，我阐述了情境化精神病理学理论的四项基本原则，希望能朝着这个方向发展。这些原则表明，情境化精神病理学理论是关系性的；它需要生态社会龛位的概念；它有一个外在主义成分；并且它将大脑视为一个社会器官。文章首先简要概述了最近从神经科学和情境方法对不断扩展的诊断精神病学提出的一些批评，而将这些整合到精神障碍情境化方法中的全部意义在于为与人的大脑、心智和身体相关的因素以及人们在生活中所面临的逆境找到理论空间。
