The Neurodiversity Framework in Medicine: On the Spectrum

IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Developmental Neurobiology Pub Date : 2025-01-28 DOI:10.1002/dneu.22960
Raul Miranda-Ojeda, Anuksha Wickramasinghe, Georgios Ntolkeras, Isabel Castanho, Walid Yassin
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Abstract

The term “neurodiversity” refers to the natural heterogeneity in human neurological functioning, which includes neurodevelopmental differences and other mental health conditions (e.g., autism spectrum disorder [ASD], attention-deficit hyperactivity disorder [ADHD], dyslexia, bipolar disorder, schizophrenia, and depression). This new viewpoint has significant consequences for the future of medicine, specifically in psychiatry, neurology, and neurodevelopmental medicine, as it undermines established notions of these conditions as disorders/diseases that may be healed or corrected. The neurodiversity approach, on the other hand, acknowledges these divergences as natural variations, calling for tailored support and interventions that accommodate individual needs. Neurodiversity could impact current medical perspectives by supporting a shift from pathology to identity. Rather than focusing on the difficulties associated with a specific ailment, the neurodiversity approach stresses the strengths and distinct perspectives that come with neurodivergent identities. This shift has significant consequences for research and therapy by fostering the development of innovative treatments aimed at increasing quality of life and improving functional results. This new perspective advocates including neurodivergent people in all sectors of society, including research, clinical practice, and policymaking, by recognizing, accepting, and integrating natural variances in brain functioning. In this article, we review the development of the neurodiversity movement and propose “The Neurodiversity Framework in Medicine,” which challenges traditional views by recognizing neurological differences as natural variations, advocating for inclusive, person-centered approaches in healthcare.

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医学中的神经多样性框架:在光谱上。
“神经多样性”一词指的是人类神经功能的自然异质性,包括神经发育差异和其他精神健康状况(如自闭症谱系障碍(ASD)、注意力缺陷多动障碍(ADHD)、阅读障碍、双相情感障碍、精神分裂症和抑郁症)。这一新观点对未来的医学,特别是精神病学、神经病学和神经发育医学产生了重大影响,因为它破坏了将这些病症视为可以治愈或纠正的紊乱/疾病的既定观念。另一方面,神经多样性方法承认这些差异是自然变化,要求提供量身定制的支持和干预措施,以适应个人需求。神经多样性可以通过支持从病理到身份的转变来影响当前的医学观点。神经多样性方法强调神经分化身份带来的优势和独特的视角,而不是专注于与特定疾病相关的困难。这种转变通过促进旨在提高生活质量和改善功能结果的创新治疗的发展,对研究和治疗产生了重大影响。这种新观点提倡通过认识、接受和整合大脑功能的自然差异,将神经分化者纳入社会各个领域,包括研究、临床实践和决策。在本文中,我们回顾了神经多样性运动的发展,并提出了“医学中的神经多样性框架”,该框架通过将神经差异视为自然变异来挑战传统观点,倡导在医疗保健中采用包容的、以人为本的方法。
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来源期刊
Developmental Neurobiology
Developmental Neurobiology 生物-发育生物学
CiteScore
6.50
自引率
0.00%
发文量
45
审稿时长
4-8 weeks
期刊介绍: Developmental Neurobiology (previously the Journal of Neurobiology ) publishes original research articles on development, regeneration, repair and plasticity of the nervous system and on the ontogeny of behavior. High quality contributions in these areas are solicited, with an emphasis on experimental as opposed to purely descriptive work. The Journal also will consider manuscripts reporting novel approaches and techniques for the study of the development of the nervous system as well as occasional special issues on topics of significant current interest. We welcome suggestions on possible topics from our readers.
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