{"title":"转向神经多样性和心理健康的跨诊断维度模型(远离精神病理学模型)。","authors":"Isabelle Morris,Giorgia Michelini,Sylia Wilson","doi":"10.1037/abn0001007","DOIUrl":null,"url":null,"abstract":"This article discusses the transdiagnostic dimensional models of neurodiversity and mental health. Moving toward transdiagnostic dimensional models of neurodiversity and mental health-rather than dimensional models of psychopathology-embraces neurodiversity as human diversity and destigmatizes neurodivergence. Individuals with neurodevelopmental conditions do not need to be \"cured\" of neurodivergence as pathology, but the inclusion of neurodevelopmental conditions in transdiagnostic dimensional models does recognize the high co-occurrence of different neurodevelopmental conditions with each other and with mental health concerns and increases access to appropriate and needed supports to improve well-being across the lifespan. Increasing recognition that neurodiversity is part of human diversity prompts reconsideration of the current dominant conceptualization of neurodivergence as inherently atypical or pathological. \"Neurodiversity\" refers to the tremendous range of possible variations in brain function, neurocognition, and behavior-no two brains or minds function in exactly the same way. \"Neurodivergent,\" often contrasted with \"neurotypical,\" refers to a brain or mind that functions in a way that deviates from culturally normative expectations. Neurodivergence may manifest in different ways and to varying degrees-and be more or less adaptive at different times, in different contexts, or from different perspectives. \"Neurodevelopmental conditions\" are characterized by neurodivergence, including early-arising differences that affect cognition, motor function, sensation, perception, and/or communication and are currently included in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition in the \"Neurodevelopmental Disorders\" chapter. The authors propose a distinction between neurodevelopmental conditions and mental health conditions such that DSM neurodevelopmental disorders should no longer be subsumed under the mental disorder classification but instead reclassified alongside them, resulting in the Diagnostic and Statistical Manual of Neurodevelopmental and Mental Disorders. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"44 1","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Moving toward transdiagnostic dimensional models of neurodiversity and mental health (and away from models of psychopathology).\",\"authors\":\"Isabelle Morris,Giorgia Michelini,Sylia Wilson\",\"doi\":\"10.1037/abn0001007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"This article discusses the transdiagnostic dimensional models of neurodiversity and mental health. Moving toward transdiagnostic dimensional models of neurodiversity and mental health-rather than dimensional models of psychopathology-embraces neurodiversity as human diversity and destigmatizes neurodivergence. Individuals with neurodevelopmental conditions do not need to be \\\"cured\\\" of neurodivergence as pathology, but the inclusion of neurodevelopmental conditions in transdiagnostic dimensional models does recognize the high co-occurrence of different neurodevelopmental conditions with each other and with mental health concerns and increases access to appropriate and needed supports to improve well-being across the lifespan. Increasing recognition that neurodiversity is part of human diversity prompts reconsideration of the current dominant conceptualization of neurodivergence as inherently atypical or pathological. \\\"Neurodiversity\\\" refers to the tremendous range of possible variations in brain function, neurocognition, and behavior-no two brains or minds function in exactly the same way. \\\"Neurodivergent,\\\" often contrasted with \\\"neurotypical,\\\" refers to a brain or mind that functions in a way that deviates from culturally normative expectations. Neurodivergence may manifest in different ways and to varying degrees-and be more or less adaptive at different times, in different contexts, or from different perspectives. \\\"Neurodevelopmental conditions\\\" are characterized by neurodivergence, including early-arising differences that affect cognition, motor function, sensation, perception, and/or communication and are currently included in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition in the \\\"Neurodevelopmental Disorders\\\" chapter. The authors propose a distinction between neurodevelopmental conditions and mental health conditions such that DSM neurodevelopmental disorders should no longer be subsumed under the mental disorder classification but instead reclassified alongside them, resulting in the Diagnostic and Statistical Manual of Neurodevelopmental and Mental Disorders. 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引用次数: 0
摘要
本文讨论了神经多样性与心理健康的跨诊断维度模型。转向神经多样性和心理健康的跨诊断维度模型,而不是精神病理学的维度模型,将神经多样性视为人类多样性,并将神经分化去污名化。患有神经发育疾病的个体不需要将神经分化作为病理学“治愈”,但在跨诊断维度模型中纳入神经发育疾病确实认识到不同神经发育疾病彼此之间以及与心理健康问题的高度共发性,并增加了获得适当和必要支持的机会,以改善整个生命周期的福祉。越来越多的人认识到神经多样性是人类多样性的一部分,这促使人们重新考虑当前主流的神经分化概念,即神经分化本质上是非典型的或病态的。“神经多样性”指的是大脑功能、神经认知和行为方面可能存在的巨大差异——没有两个大脑或思维的功能是完全相同的。“神经发散型”(Neurodivergent)通常与“典型型”(neurotypical)形成对比,指的是大脑或思维的运作方式偏离了文化规范的预期。神经分化可能以不同的方式和程度表现出来,并且在不同的时间、不同的背景或不同的视角下或多或少具有适应性。“神经发育状况”以神经分化为特征,包括早期产生的影响认知、运动功能、感觉、知觉和/或交流的差异,目前已被列入《精神疾病诊断与统计手册》第五版“神经发育障碍”章节。作者建议区分神经发育状况和精神健康状况,这样DSM神经发育障碍就不应该再被归入精神障碍分类,而是与它们一起重新分类,从而产生了《神经发育和精神障碍诊断与统计手册》。(PsycInfo Database Record (c) 2025 APA,版权所有)。
Moving toward transdiagnostic dimensional models of neurodiversity and mental health (and away from models of psychopathology).
This article discusses the transdiagnostic dimensional models of neurodiversity and mental health. Moving toward transdiagnostic dimensional models of neurodiversity and mental health-rather than dimensional models of psychopathology-embraces neurodiversity as human diversity and destigmatizes neurodivergence. Individuals with neurodevelopmental conditions do not need to be "cured" of neurodivergence as pathology, but the inclusion of neurodevelopmental conditions in transdiagnostic dimensional models does recognize the high co-occurrence of different neurodevelopmental conditions with each other and with mental health concerns and increases access to appropriate and needed supports to improve well-being across the lifespan. Increasing recognition that neurodiversity is part of human diversity prompts reconsideration of the current dominant conceptualization of neurodivergence as inherently atypical or pathological. "Neurodiversity" refers to the tremendous range of possible variations in brain function, neurocognition, and behavior-no two brains or minds function in exactly the same way. "Neurodivergent," often contrasted with "neurotypical," refers to a brain or mind that functions in a way that deviates from culturally normative expectations. Neurodivergence may manifest in different ways and to varying degrees-and be more or less adaptive at different times, in different contexts, or from different perspectives. "Neurodevelopmental conditions" are characterized by neurodivergence, including early-arising differences that affect cognition, motor function, sensation, perception, and/or communication and are currently included in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition in the "Neurodevelopmental Disorders" chapter. The authors propose a distinction between neurodevelopmental conditions and mental health conditions such that DSM neurodevelopmental disorders should no longer be subsumed under the mental disorder classification but instead reclassified alongside them, resulting in the Diagnostic and Statistical Manual of Neurodevelopmental and Mental Disorders. (PsycInfo Database Record (c) 2025 APA, all rights reserved).