什么是精神上的努力:从临床角度来看
Noham Wolpe1, Richard Holton2, Paul C Fletcher3
1Department of Physical Therapy, The Stanley Steyer School of Health Professions, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel; Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.
Biological psychiatry
|February 3, 2024
概括
心理努力通常定义不好,导致神经科学中的混乱. 将精神努力重新定义为主观经验,澄清了认知障碍的独特机制,有助于治疗干预.
科学领域:
- 神经科学是一个神经科学.
- 认知心理学 认知心理学
- 临床心理学 临床心理学
背景情况:
- 术语"精神努力"在神经科学中含糊不清地使用,包括认知工作和主观经验.
- 这种结合阻碍了对神经精神疾病中的认知障碍的理解,原因是不同的潜在机制.
研究的目的:
- 提出一个更清晰,临床上有用的定义精神努力作为一个主观的经验.
- 区分由认知器官引起的认知障碍与主观努力困难.
- 探索近期神经科学进展如何为了解临床人群的努力感知提供信息.
主要方法:
- 审查当前的神经科学研究的精神努力.
- 分析认知工作和主观努力经验的独特机制.
- 检查努力感知如何与任务切换中的成本效益分析有关.
主要成果:
- 将认知工作与主观的努力体验混为一谈,阻碍了神经精神病学研究的进展.
- 将精神努力定义为主观经验,区分了基于器官的障碍 (如痴呆症) 和动机/主观的障碍 (如ADHD,抑郁症).
- 新兴研究表明,努力经验调节了任务切换,以优化成本与收益.
结论:
- 精确地定义精神努力作为主观经验对于推进认知障碍研究至关重要.
- 这种重构有助于更深入地了解不同临床群体认知缺陷背后的机制.
- 更好的理解最终将支持对神经精神疾病的更有效的治疗干预措施的开发.
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