Azaïs F
Service de Psychiatrie adulte, Hôpital Necker, Paris.
Encephale. 1995 Sep-Oct;21(5):597-607.
Cognitive psychology is proposing a functional model to explain the mental organisation leading to emotional disorders. Among these disorders, anxiety spectrum represents a domain in which this model seems to be interesting for an efficient and comprehensive approach of the pathology. Number of behavioral or cognitive psychotherapeutic methods are relating to these cognitive references, but the theorical concepts of cognitive "shemata" or cognitive "processes" evoked to describe mental functioning in anxiety need an experimental approach for a better rational understanding. Cognitive function as perception, attention or memory can be explored in this domaine in an efficient way, allowing a more precise study of each stage of information processing. The cognitive model proposed in the psychopathology of anxiety suggests that anxious subjects are characterized by biases in processing of emotionally valenced information. This hypothesis suggests functional interference in information processing in these subjects, leading to an anxious response to the most of different stimuli. Experimental approach permit to explore this hypothesis, using many tasks for testing different cognitive dysfunction evoked in the anxious cognitive organisation. Impairments revealed in anxiety disorders seem to result from specific biases in threat-related information processing, involving several stages of cognitive processes. Semantic interference, attentional bias, implicit memory bias and priming effect are the most often disorders observed in anxious pathology, like simple phobia, generalised anxiety, panic disorder or post-traumatic stress disorder. These results suggest a top-down organisation of information processing in anxious subjects, who tend to detect, perceive and label many situations as threatening experience. The processes of reasoning and elaboration are consequently impaired in their adaptative function to threat, leading to the anxious response observed in clinical condition. The cognitive, behavioral and emotional components of this anxious reaction maintain the stressful experience for the subject, in which the self cognitive competence remain pathologically decreased. Cognitive psychology proposes an interesting model for the understanding of anxiety, in a domain in which subjectivity could benefit from an experimental approach.(ABSTRACT TRUNCATED AT 400 WORDS)
认知心理学正在提出一种功能模型,以解释导致情绪障碍的心理组织。在这些障碍中,焦虑谱系代表了一个领域,在这个领域中,该模型似乎对于病理学的有效和全面研究方法很有意义。许多行为或认知心理治疗方法都与这些认知参考有关,但为描述焦虑中的心理功能而唤起的认知“图式”或认知“过程”的理论概念需要一种实验方法,以便更好地进行理性理解。在这个领域,可以有效地探索诸如感知、注意力或记忆等认知功能,从而更精确地研究信息处理的每个阶段。焦虑心理病理学中提出的认知模型表明,焦虑症患者的特征是在处理情感信息时存在偏差。这一假设表明这些患者在信息处理方面存在功能干扰,导致对大多数不同刺激产生焦虑反应。实验方法允许通过使用许多任务来测试焦虑认知组织中引发的不同认知功能障碍来探索这一假设。焦虑症中发现的损伤似乎是由与威胁相关的信息处理中的特定偏差导致的,涉及认知过程的几个阶段。语义干扰、注意力偏差、内隐记忆偏差和启动效应是焦虑症病理学中最常观察到的障碍,如单纯恐惧症、广泛性焦虑症、惊恐障碍或创伤后应激障碍。这些结果表明,焦虑症患者的信息处理是自上而下组织的,他们倾向于将许多情况检测、感知并标记为威胁性经历。因此,推理和阐述过程在其对威胁的适应功能中受损,导致在临床情况下观察到的焦虑反应。这种焦虑反应的认知、行为和情感成分使个体保持压力体验,其中自我认知能力在病理上仍然下降。认知心理学为理解焦虑提出了一个有趣的模型,在这个领域中,主观性可以从实验方法中受益。(摘要截取自400字)