社会行为作为心理弹性的跨诊断标记。

IF 4 2区 医学 Q2 CHEMISTRY, MEDICINAL
ACS Infectious Diseases Pub Date : 2021-05-07 Epub Date: 2021-01-12 DOI:10.1146/annurev-clinpsy-081219-102046
Ruth Feldman
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引用次数: 38

摘要

最近从精神病理学到恢复力,从诊断到功能的转变需要构建适应的跨诊断标记。这篇综述描述了一个弹性模型,该模型是基于隶属关系的神经生物学和哺乳动物在母亲的身体和社会行为的背景下成熟的初始条件。该模型提出了弹性的三个原则——可塑性、社会性和意义,并认为协调的社会行为是维持弹性的核心。在动物进化和人类发展过程中,协调社会行为成熟的两条线被绘制出来,最终达到了人类成熟的同理心、相互性和换位思考的互惠。基于我们的行为编码系统,跨越年龄和临床条件的累积证据表明,社会互惠(由个体、二元和群体层面的可塑性定义)代表了复原力,而脱离/回避和侵入/僵化这两个极点则表征了特定的精神病理学,每个都有不同的行为特征。对发展敏感标记和人类社会意义维度的关注,可能为恢复力开辟新的、基于行为的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Social Behavior as a Transdiagnostic Marker of Resilience.

The recent shift from psychopathology to resilience and from diagnosis to functioning requires the construction of transdiagnostic markers of adaptation. This review describes a model of resilience that is based on the neurobiology of affiliation and the initial condition of mammals that mature in the context of the mother's body and social behavior. The model proposes three tenets of resilience-plasticity, sociality, and meaning-and argues that coordinated social behavior stands at the core sustaining resilience. Two lines in the maturation of coordinated social behavior are charted, across animal evolution and throughout human development, culminating in the mature human reciprocity of empathy, mutuality, and perspective-taking. Cumulative evidence across ages and clinical conditions and based on our behavioral coding system demonstrates that social reciprocity, defined by plasticity at the individual, dyadic, and group levels, denotes resilience, whereas the two poles of disengagement/avoidance and intrusion/rigidity characterize specific psychopathologies, each with a distinct behavioral signature. Attention to developmentally sensitive markers and to the dimension of meaning in human sociality may open new, behavior-based pathways to resilience.

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来源期刊
ACS Infectious Diseases
ACS Infectious Diseases CHEMISTRY, MEDICINALINFECTIOUS DISEASES&nb-INFECTIOUS DISEASES
CiteScore
9.70
自引率
3.80%
发文量
213
期刊介绍: ACS Infectious Diseases will be the first journal to highlight chemistry and its role in this multidisciplinary and collaborative research area. The journal will cover a diverse array of topics including, but not limited to: * Discovery and development of new antimicrobial agents — identified through target- or phenotypic-based approaches as well as compounds that induce synergy with antimicrobials. * Characterization and validation of drug target or pathways — use of single target and genome-wide knockdown and knockouts, biochemical studies, structural biology, new technologies to facilitate characterization and prioritization of potential drug targets. * Mechanism of drug resistance — fundamental research that advances our understanding of resistance; strategies to prevent resistance. * Mechanisms of action — use of genetic, metabolomic, and activity- and affinity-based protein profiling to elucidate the mechanism of action of clinical and experimental antimicrobial agents. * Host-pathogen interactions — tools for studying host-pathogen interactions, cellular biochemistry of hosts and pathogens, and molecular interactions of pathogens with host microbiota. * Small molecule vaccine adjuvants for infectious disease. * Viral and bacterial biochemistry and molecular biology.
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