Ontological Adaptation in Transition to Adulthood: A Theoretical Framework for Integrating Phenomenology and Neuroscience in Psychosis Research.
Ontological Adaptation in Transition to Adulthood: A Theoretical Framework for Integrating Phenomenology and Neuroscience in Psychosis Research.
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DOI：
10.1097/nmd.0000000000001602
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发表时间：
2023-02-01
影响因子：
1.9
通讯作者：
Beason, Tiffany
中科院分区：
文献类型：
--
作者：
Chiappelli, Joshua;Beason, Tiffany
在这篇理论综述中，精神障碍的神经发育模型被认为是在本体论发展的框架内，指的是关于身份和世界观的现实感的个体水平的建设。根据埃里克森的发展理论，塑造个人和社会身份的挑战是青春期后期和成年早期的典型发展过程。伴随这一过程的是探索和冒险行为的正常增长，有时包括挑战和蔑视文化规范。虽然本体适应的许多方面是发展适当的，我们认为，精神病等精神病理学可以植根于这一过程的异常偏差，其中异常的显着性加速了典型的驱动器，以发展一个有意义的认同感，导致妄想的形成。通过将精神病发作置于更广泛的正常发展背景下，该模型为理解新发精神障碍的经历提供了一种人性化的方法。
In this theoretical review, the neurodevelopmental model of psychotic disorders is considered within the framework of ontological development, referring to the individual-level construction of a sense of reality regarding identity and worldview. Following Erikson's theory of development, the challenge of forging a personal and social identity is a developmental process typical of late adolescence and early adulthood. Accompanying this process is a developmentally normal increase in exploratory and risk-taking behavior, which sometimes includes challenging and defying cultural norms. Although many aspects of ontological adaptation are developmentally appropriate, we argue that psychopathology such as psychosis can be rooted in an abnormal deviation of this process, in which aberrant salience accelerates the typical drive to develop a meaningful sense of identity, leading to delusion formation. By placing psychosis onset within a broader context of normal development, this model offers a humanistic approach for understanding experiences of new onset of psychotic disorders.