The influence of framing on clinicians' judgments of the biological basis of behaviors.
The influence of framing on clinicians' judgments of the biological basis of behaviors.
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框架对临床医生对行为生物学基础判断的影响。
DOI：
10.1037/xap0000070
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
Knobe,Joshua
中科院分区：
文献类型：
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作者：
Kim,NancyS;Ahn,Woo-kyoung;Johnson,SamuelGB;Knobe,Joshua
执业临床医生经常抽象地考虑行为(例如，在症状方面，如在《精神疾病诊断和统计手册》，第5版，DSM-5；美国精神病学协会，2013)和具体(即，在个人客户方面，如在DSM-5临床案例方面；巴恩希尔，2013)。抽象/具体框架是否影响对行为的临床判断？对74名临床心理健康从业者(N=74)的6种精神障碍症状进行了抽象与具体的比较，并对其生物学和心理基础进行了评分(实验1)，以及药物和心理治疗对缓解这些障碍的可能效果(实验2)。临床医生认为，与具体描述的症状相比，抽象的行为症状更多地是基于生物学的，而不是基于心理的，药物治疗被认为对抽象的症状比具体描述的症状更有效。这些发现表明，主要以研究为导向的临床医生和主要以实践为导向的临床医生之间可能存在沟通不畅和观点不一致的基础；此外，临床医生可能更倾向于抽象地接受新的神经科学研究，而不是针对个人客户。
Practicing clinicians frequently think about behaviors both abstractly (ie, in terms of symptoms, as in the Diagnostic and Statistical Manual of Mental Disorders, 5th ed., DSM–5; American Psychiatric Association, 2013) and concretely (ie, in terms of individual clients, as in DSM–5 Clinical Cases; Barnhill, 2013). Does abstract/concrete framing influence clinical judgments about behaviors? Practicing mental health clinicians (N= 74) were presented with hallmark symptoms of 6 disorders framed abstractly versus concretely, and provided ratings of their biological and psychological bases (Experiment 1) and the likely effectiveness of medication and psychotherapy in alleviating them (Experiment 2). Clinicians perceived behavioral symptoms in the abstract to be more biologically and less psychologically based than when concretely described, and medication was viewed as more effective for abstractly than concretely described symptoms. These findings suggest a possible basis for miscommunication and misalignment of views between primarily research-oriented and primarily practice-oriented clinicians; furthermore, clinicians may accept new neuroscience research more strongly in the abstract than for individual clients.(PsycINFO Database Record (c) 2016 APA, all rights reserved)