创伤性解体,脱离和解离是与附着创伤相关的单独的致病过程吗? 一个临床医生和研究人员的工作假设
Benedetto Farina1, Claudio Imperatori1
1Experimental and Applied Psychology Laboratory, Department of Human Sciences, European University of Rome, Rome, Italy.
Psychopathology
|December 10, 2023
概括
在精神疾病中常见的分离,缺乏明确的定义. 这项研究提出,它是由与发育创伤相关的至少三种不同的致病过程引起的,而不是单一的原因.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 心理创伤学 心理创伤学
背景情况:
- 解离在精神疾病中非常普遍,表明临床相关性.
- 它的定义在科学上仍有争议,对其病变的理解有限.
- 经验证据挑战了将分离视为单一的统一概念的观点.
研究的目的:
- 为目前被归类为分离的复杂现象提出一个工作假设.
- 区分导致分离体验的潜在病原性过程.
- 为在精神病理学中更细致地理解分离提供一个框架.
主要方法:
- 对关于分离的临床和神经科学数据的审查和综合.
- 基于现有经验证据的假设的发展.
- 分离现象及其提出的起源的概念分析.
主要成果:
- 这项研究表明,分离不是一个单一的现象.
- 它提出至少有三种不同的致病过程是分裂症状的基础.
- 这些过程与发育创伤有关:创伤性解体,脱离反应和分离.
结论:
- 提出的假设为解离的异质性提供了一个新的视角.
- 它强调了需要超越一维的离散方法.
- 这一框架作为未来研究解离的复杂表现的起点.
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