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社会行为作为复原力的跨诊断标志物。

Social Behavior as a Transdiagnostic Marker of Resilience.

作者信息

Feldman Ruth

机构信息

Center for Developmental Social Neuroscience, Interdisciplinary Center Herzliya, Herzliya 4601010, Israel; email:

Child Study Center, Yale University, New Haven, Connecticut 06520, USA.

出版信息

Annu Rev Clin Psychol. 2021 May 7;17:153-180. doi: 10.1146/annurev-clinpsy-081219-102046. Epub 2021 Jan 12.

Abstract

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.

摘要

最近从精神病理学向复原力以及从诊断向功能的转变,需要构建适应的跨诊断标志物。本综述描述了一种基于依恋神经生物学以及在母体和社会行为背景下成熟的哺乳动物初始状态的复原力模型。该模型提出了复原力的三个原则——可塑性、社会性和意义,并认为协调的社会行为是维持复原力的核心。绘制了协调社会行为成熟过程中的两条脉络,贯穿动物进化和人类发展全过程,最终形成成熟人类在共情、相互性和换位思考方面的互惠行为。基于我们的行为编码系统,跨越年龄和临床状况的累积证据表明,由个体、二元和群体层面的可塑性所定义的社会互惠表示复原力,而脱离/回避和侵入/僵化这两个极端则表征特定的精神病理学,每种都有独特的行为特征。关注发育敏感标志物以及人类社会性中的意义维度,可能会开启基于行为的新的复原力途径。

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