Mental Health Clinicians' Beliefs About the Biological, Psychological, and Environmental Bases of Mental Disorders.

Mental Health Clinicians' Beliefs About the Biological, Psychological, and Environmental Bases of Mental Disorders.
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DOI:
10.1111/j.1551-6709.2009.01008.x
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发表时间:
2009-03
期刊:
影响因子:
2.5
通讯作者:
Flanagan EH
Flanagan EH
中科院分区:
心理学3区
文献类型:
--
作者:
Ahn WK;Proctor CC;Flanagan EH

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目前的实验检验了心理健康临床医生对DSM-IV-TR精神障碍的生物学、心理学和环境基础的信念,以及这些因果信念对判断治疗效果的影响。研究1发现,临床医生对生物学基础和环境/心理基础的信念之间存在很大的负相关,这表明临床医生对精神障碍的概念化是沿着一个单一的连续体,从高度生物学障碍(如自闭症障碍)到高度非生物学障碍(如适应障碍)。研究2通过让临床医生列出他们认为的九种常见精神障碍的具体原因,并对其生物心理环境基础进行评分,重复了这一发现。研究3进一步发现,临床医生认为药物治疗对基于生物学的精神障碍更有效,而心理治疗对基于心理社会的精神障碍更有效。这些结果表明,即使是专业的心理健康临床医生也会对心理现象和生物现象进行强烈区分。
The current experiments examine mental health clinicians’ beliefs about biological, psychological, and environmental bases of the DSM-IV-TR mental disorders and the consequences of those causal beliefs for judging treatment effectiveness. Study 1 found a large negative correlation between clinicians’ beliefs about biological bases and environmental/psychological bases, suggesting that clinicians conceptualize mental disorders along a single continuum spanning from highly biological disorders (e.g., autistic disorder) to highly nonbiological disorders (e.g., adjustment disorders). Study 2 replicated this finding by having clinicians list what they thought were the specific causes of nine familiar mental disorders and rate their bio–psycho–environmental bases. Study 3 further found that clinicians believe medication to be more effective for biologically based mental disorders and psychotherapy to be more effective for psychosocially based mental disorders. These results demonstrate that even expert mental health clinicians make strong distinctions between psychological and biological phenomena.
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