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崔等人(2025年)对《理解临床变化中的转变类型:从复杂动态系统视角的介绍》的勘误

Correction to "Understanding types of transitions in clinical change: An introduction from the complex dynamic systems perspective" by Cui et al. (2025).

出版信息

J Psychopathol Clin Sci. 2025 Nov;134(8):1038. doi: 10.1037/abn0001061. Epub 2025 Sep 18.

DOI:10.1037/abn0001061
PMID:40965947
Abstract

Reports an error in "Understanding types of transitions in clinical change: An introduction from the complex dynamic systems perspective" by Jingmeng Cui, Fred Hasselman, Merlijn Olthof and Anna Lichtwarck-Aschoff (, 2025[May], Vol 134[4], 469-482; see record 2025-93753-001). In the article, in Figure 8 the final steps in the decision tree were inadvertently reversed: A "Yes" response should lead to B-tipping, and a "No" response should lead to R-tipping. The corrected figure is present in the erratum. (The following abstract of the original article appeared in record 2025-93753-001). Sudden changes are common in clinical trajectories. While theoretical work in complex dynamic systems has provided mathematical theories for various types and mechanisms of change, a concrete application for the field of psychopathology is still lacking. We aim to bridge this gap by outlining an applied theoretical framework using theoretical concepts of the natural sciences for the field of clinical psychopathology, also devoting attention to issues and providing recommendations that are specific to the psychopathology domain. First, the mechanisms and features of four distinct types of transitions are introduced: bifurcation-induced tipping (B-tipping), noise-induced tipping (N-tipping), rate-induced tipping (R-tipping), and noise-induced diffusion (N-diffusion). Those types of transitions differ in the main cause of the change and data characteristics. To illustrate their application to clinical phenomena, we present two real-life scenarios using simulated time series. These examples demonstrate how theoretical types of change may connect to clinical phenomena and highlight how different types of transitions can co-occur in various subsystems. In the first example, we show that the mood system and the momentary affect system of a patient with sudden loss may show B-tipping and N-diffusion at the same time; in the second example, we show that increasing the stimulus strengthening speed in exposure therapy may lead to R-tipping, while the therapeutic decision in this context may be caused by N-tipping. Finally, we lay out possible pathways for determining the appropriate type of transition for future empirical research, highlighting methods both from dynamic system research and special opportunities for research in clinical psychology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

报告荆萌·崔、弗雷德·哈塞尔曼、梅林·奥尔特霍夫和安娜·利希特瓦克 - 阿绍夫所著的《理解临床变化中的转变类型:从复杂动态系统视角的介绍》(, 2025[五月], 第134卷[4], 469 - 482页;见记录2025 - 93753 - 001)中的一处错误。在该文章中,图8中决策树的最后步骤被意外颠倒:“是”的回答应导致B型翻转,“否”的回答应导致R型翻转。勘误中给出了修正后的图。(原始文章的以下摘要出现在记录2025 - 93753 - 001中)。突然变化在临床轨迹中很常见。虽然复杂动态系统的理论工作为各种类型和变化机制提供了数学理论,但心理病理学领域仍缺乏具体应用。我们旨在通过为临床心理病理学领域勾勒一个应用理论框架来弥合这一差距,该框架使用自然科学的理论概念,同时也关注特定于心理病理学领域的问题并提供建议。首先,介绍了四种不同类型转变的机制和特征:分岔诱导翻转(B型翻转)、噪声诱导翻转(N型翻转)、速率诱导翻转(R型翻转)和噪声诱导扩散(N型扩散)。这些转变类型在变化的主要原因和数据特征方面有所不同。为了说明它们在临床现象中的应用,我们使用模拟时间序列展示了两个现实生活场景。这些例子展示了理论上的变化类型如何与临床现象相关联,并突出了不同类型的转变如何在各个子系统中同时发生。在第一个例子中,我们表明突然失去亲人的患者的情绪系统和瞬间情感系统可能同时出现B型翻转和N型扩散;在第二个例子中,我们表明在暴露疗法中提高刺激强化速度可能导致R型翻转,而在此背景下的治疗决策可能由N型翻转引起。最后,我们列出了为未来实证研究确定合适转变类型的可能途径,突出了动态系统研究的方法以及临床心理学研究的特殊机会。(PsycInfo数据库记录 (c) 2025美国心理学会,保留所有权利)

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