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模块化思维与精神病学:迈向以自我障碍为重点的临床整合

The modular mind and psychiatry: toward clinical integration with a focus on self-disorders.

作者信息

Ilie Gheorghe, Jaeggi Adrian V

机构信息

Institute of Evolutionary Medicine, University of Zurich, Zurich, Switzerland.

出版信息

Front Psychol. 2025 Apr 25;16:1570049. doi: 10.3389/fpsyg.2025.1570049. eCollection 2025.

Abstract

One of the foundational tenets of evolutionary psychology, the modular view of the mind, offers promising applications for clinical psychiatry. This perspective conceptualizes the mind as a collection of specialized information-processing modules, shaped by natural selection to address adaptive challenges faced by our ancestors. In this paper, we propose several points of integration between the modularity framework and clinical psychiatric practice. First, we argue that the descriptive psychopathology of self-disorders provides evidence supporting the modular view, demonstrating how a dysfunctional minimal self may expose the mind's modular architecture to conscious awareness. Next, we will explore how the modular perspective can illuminate the nature of intrapsychic conflicts. Finally, we will discuss how evidence from neuropsychiatric syndromes supports the modular view of the mind and, in turn, how this perspective can provide a basis for classifying mental disorders.

摘要

进化心理学的一个基本信条——心灵的模块化观点,为临床精神病学提供了有前景的应用。这一观点将心灵概念化为一系列专门的信息处理模块的集合,这些模块由自然选择塑造,以应对我们祖先所面临的适应性挑战。在本文中,我们提出了模块化框架与临床精神病学实践之间的几个整合点。首先,我们认为自我障碍的描述性精神病理学提供了支持模块化观点的证据,展示了功能失调的最小自我如何将心灵的模块化结构暴露于意识觉知之中。接下来,我们将探讨模块化观点如何阐明内心冲突的本质。最后,我们将讨论神经精神综合征的证据如何支持心灵的模块化观点,以及反过来,这一观点如何能为精神障碍的分类提供基础。

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