Intersubjectivity as an antidote to stress: Using dyadic active inference model of intersubjectivity to predict the efficacy of parenting interventions in reducing stress-through the lens of dependent origination in Buddhist Madhyamaka philosophy.
Intersubjectivity as an antidote to stress: Using dyadic active inference model of intersubjectivity to predict the efficacy of parenting interventions in reducing stress-through the lens of dependent origination in Buddhist Madhyamaka philosophy.
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DOI：
10.3389/fpsyg.2022.806755
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发表时间：
2022
影响因子：
3.8
通讯作者：
Swain, James E
中科院分区：
文献类型：
--
作者：
Ho, S Shaun;Nakamura, Yoshio;Gopang, Meroona;Swain, James E
主体间性是指一个人的意识与另一个人的意识之间的关系。它是福祉和人类发展的关键。从婴儿期到成年期，人类互动不断地促成主体间性的繁荣或损害。在这项工作中，我们首先将主体间性描述为质量二元过程的标志。然后，以亲子关系为例，我们提出了一种二元主动推理模型来阐明压力和主体间性之间的反比关系。我们假设主体间性受损是关系仁慈不足、错误归因他人意图（过度心智化）以及忽视自己行为对他人的影响（耦合不足）等潜在问题的表现。当一个人感到受到威胁并坚持他/她的无效（错误）信念时，由于一个人的主动推理引擎中的过度变分自由能，这些问题可能会加剧压力。为了支持这种二元模型，我们简要描述了相关的神经影像学文献，以阐明以主体间性为导向的育儿干预对育儿压力影响的大脑网络。使用主动推理二元模型，我们确定了纠正这些问题所需的关键干预策略，并据此开发了参考这些策略的编码系统。在理论指导的定量综述中，我们使用该编码系统，基于 PubMed 数据库，对 2016 年至 2020 年间发表的 35 项育儿干预临床试验进行了编码，以预测其减轻育儿压力的功效。这一理论指导分析的结果证实了我们的假设，即如果干预旨在缓解关系仁慈不足、耦合不足和过度心智化的问题，那么育儿干预可以有效减轻育儿压力。我们将我们的工作与文献中确定的几个二元概念相结合。最后，受龙树菩萨佛教中观哲学的启发，我们将缘起的抽象表达描述为一种关系世界观，以反思主体间性的正常、损伤和康复。
Intersubjectivity refers to one person’s awareness in relation to another person’s awareness. It is key to well-being and human development. From infancy to adulthood, human interactions ceaselessly contribute to the flourishing or impairment of intersubjectivity. In this work, we first describe intersubjectivity as a hallmark of quality dyadic processes. Then, using parent-child relationship as an example, we propose a dyadic active inference model to elucidate an inverse relation between stress and intersubjectivity. We postulate that impaired intersubjectivity is a manifestation of underlying problems of deficient relational benevolence, misattributing another person’s intentions (over-mentalizing), and neglecting the effects of one’s own actions on the other person (under-coupling). These problems can exacerbate stress due to excessive variational free energy in a person’s active inference engine when that person feels threatened and holds on to his/her invalid (mis)beliefs. In support of this dyadic model, we briefly describe relevant neuroimaging literature to elucidate brain networks underlying the effects of an intersubjectivity-oriented parenting intervention on parenting stress. Using the active inference dyadic model, we identified critical interventional strategies necessary to rectify these problems and hereby developed a coding system in reference to these strategies. In a theory-guided quantitative review, we used this coding system to code 35 clinical trials of parenting interventions published between 2016 and 2020, based on PubMed database, to predict their efficacy for reducing parenting stress. The results of this theory-guided analysis corroborated our hypothesis that parenting intervention can effectively reduce parenting stress if the intervention is designed to mitigate the problems of deficient relational benevolence, under-coupling, and over-mentalizing. We integrated our work with several dyadic concepts identified in the literature. Finally, inspired by Arya Nagarjuna’s Buddhist Madhyamaka Philosophy, we described abstract expressions of Dependent Origination as a relational worldview to reflect on the normality, impairment, and rehabilitation of intersubjectivity.