Enactive Mind Autism: Autopoietic Enactivism as a Practical Framework for Autism Healthcare.

IF 3.1 3区医学 Q3 PSYCHIATRY

Psychopathology Pub Date : 2026-09-21 DOI:10.1159/psp/aelag010

Johannes Cornelis van Huizen, Jan-Pieter Teunisse, Antje Orgassa, Wouter G Staal, Derek W Strijbos

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引用次数: 0

Abstract

Introduction: Autism healthcare has traditionally focused on individual biological and behavioral factors. In recent decades, there has been growing recognition that the outside world also plays an enabling if not constitutive role in the development of support needs. This broader view complicates healthcare delivery as the traditional person-centered focus 'diffuses' into the environment. An integrative approach, rooted in autopoietic enactivism, can provide guidance here - aimed at establishing stable, authentic, and health-promoting patterns of engagement between an autistic individual and their surroundings. Although the application of autopoietic enactivism has gained popularity among philosophers of psychiatry, its clinical consolidation remains limited.

Methods: In addressing this gap, this paper presents a preliminary practical framework called enactive mind autism (EMA). EMA consists of five dimensions to explore the relevance and implications of an autopoietic-enactive approach in autism healthcare: aspects of (1) ecological, (2) historical, (3) tangible-embodied, (4) intersubjective, and (5) socio-cultural life.

Conclusion: To conclude, this paper draws a connection with design research to imagine new methodological directions for clinical research and practice, which, from an autopoietic-enactive perspective, is encouraged to take a phenomenological, pragmatic, and material turn.

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动作思维自闭症：自创生动作作为自闭症医疗保健的实用框架。

自闭症医疗传统上关注个体的生物学和行为因素。近几十年来，人们日益认识到，外部世界在发展支助需要方面即使不是构成性的作用，也起着促进作用。随着传统的以人为中心的焦点“扩散”到环境中，这种更广泛的观点使医疗保健服务变得复杂。一种植根于自创生运动的综合方法可以在这里提供指导——旨在建立自闭症个体与周围环境之间稳定、真实和促进健康的接触模式。尽管自创生运动的应用在精神病学哲学家中得到了普及，但其临床巩固仍然有限。为了解决这一差距，本文提出了一个初步的实用框架，称为动作思维自闭症（EMA）。EMA由五个维度组成，以探索自创生行为方法在自闭症医疗保健中的相关性和含义：(1)生态方面，(2)历史方面，(3)有形体现方面，(4)主体间性方面，(5)社会文化生活方面。综上所述，本文通过与设计研究的联系，为临床研究和实践设想新的方法论方向，从自创生行为的角度来看，鼓励临床研究和实践采取现象学，实用主义和材料转向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychopathology 医学-精神病学

CiteScore

5.10

自引率

5.60%

发文量

审稿时长

>12 weeks

期刊介绍： ''Psychopathology'' is a record of research centered on findings, concepts, and diagnostic categories of phenomenological, experimental and clinical psychopathology. Studies published are designed to improve and deepen the knowledge and understanding of the pathogenesis and nature of psychopathological symptoms and psychological dysfunctions. Furthermore, the validity of concepts applied in the neurosciences of mental functions are evaluated in order to closely bring together the mind and the brain. Major topics of the journal are trajectories between biological processes and psychological dysfunction that can help us better understand a subject’s inner experiences and interpersonal behavior. Descriptive psychopathology, experimental psychopathology and neuropsychology, developmental psychopathology, transcultural psychiatry as well as philosophy-based phenomenology contribute to this field.