The critical role of nurturing environments for promoting human well-being.

The critical role of nurturing environments for promoting human well-being.
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DOI:
10.1037/a0026796
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发表时间:
2012-05
影响因子:
16.4
通讯作者:
Sandler, Irwin N.
Sandler, Irwin N.
中科院分区:
心理学1区
文献类型:
--
作者:
Biglan, Anthony;Flay, Brian R.;Embry, Dennis D.;Sandler, Irwin N.

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最近的医学研究所关于预防的报告(国家研究理事会[NRC]和国际移民组织,2009年)指出了精神、情绪和行为障碍之间的实质性相互关系,并指出,在很大程度上,这些问题源于一系列共同的疾病。然而,尽管有证据,目前的研究和实践仍在继续处理精神、情绪和行为障碍的预防,就好像它们是无关的,每个疾病都源于不同的条件。本文提出了一个框架,可以加快预防这些问题的进展。促进成功发展和防止心理和行为问题发展的环境被有效地描述为养育环境。首先,这些环境将生物和心理上的有毒事件降至最低。其次,他们教授、促进和强化亲社会行为,包括自律行为和成为社会中富有成效的成年成员所需的所有技能。第三,他们监控和限制问题行为的机会。第四,它们培养心理灵活性--注意自己的想法和感受,并为自己的价值观服务的能力,即使一个人的想法和感觉阻碍了采取有价值的行动。我们回顾了支持这一综合的证据,并描述了可能增加养育环境流行率的公共卫生运动,从而有助于预防大多数精神、情绪和行为障碍。
The recent Institute of Medicine report on prevention (National Research Council [NRC] & IOM, 2009) noted the substantial inter-relationship among mental, emotional, and behavioral disorders, and pointed out that, to a great extent, these problems stem from a set of common conditions. However, despite the evidence, current research and practice continues to deal with the prevention of mental, emotional, and behavioral disorders as if they are unrelated and each stem from different conditions. This paper proposes a framework that could accelerate progress in preventing these problems. Environments that foster successful development and prevent the development of psychological and behavioral problems are usefully characterized as nurturing environments. First, these environments minimize biologically and psychologically toxic events. Second, they teach, promote, and richly reinforce prosocial behavior, including self-regulatory behaviors and all of the skills needed to become productive adult members of society. Third, they monitor and limit opportunities for problem behavior. Fourth, they foster psychological flexibility—the ability to be mindful of one's thoughts and feelings and act in the service of one's values, even when one's thoughts and feelings discourage taking valued action. We review evidence to support this synthesis and describe the kind of public health movement that could increase the prevalence of nurturing environments and, thereby, contribute to the prevention of most mental, emotional, and behavioral disorders.
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