Biomedical Explanations of Psychopathology and Their Implications for Attitudes and Beliefs About Mental Disorders.

IF 17.8 1区 心理学 Q1 PSYCHOLOGY Annual Review of Clinical Psychology Pub Date : 2019-05-07 Epub Date: 2018-11-16 DOI:10.1146/annurev-clinpsy-050718-095416
Matthew S Lebowitz, Paul S Appelbaum
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引用次数: 79

Abstract

Mental disorders are increasingly conceptualized as biomedical diseases, explained as manifestations of genetic and neurobiological abnormalities. Here, we discuss changes in the dominant explanatory accounts of psychopathology that have occurred over time and the driving forces behind these shifts, lay out some real-world evidence for the increasing ascendancy of biomedical explanations, and provide an overview of the types of attitudes and beliefs that may be affected by them. We examine theoretical and conceptual models that are relevant to understanding how biomedical conceptualizations might affect attitudes and beliefs about mental disorders, and we review some empirical evidence that bears on this question. Finally, we examine possible strategies for combatting potential negative effects of biomedical explanations and discuss important conclusions and directions for future research.

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精神病理学的生物医学解释及其对精神障碍态度和信念的影响。
精神障碍越来越被概念化为生物医学疾病,被解释为遗传和神经生物学异常的表现。在这里,我们讨论了随着时间的推移,精神病理学的主要解释发生了变化,以及这些变化背后的驱动力,为生物医学解释的日益优势提供了一些现实世界的证据,并提供了可能受其影响的态度和信念类型的概述。我们研究了与理解生物医学概念化如何影响对精神障碍的态度和信念有关的理论和概念模型,并回顾了一些与这个问题有关的经验证据。最后,我们探讨了应对生物医学解释潜在负面影响的可能策略,并讨论了未来研究的重要结论和方向。
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来源期刊
CiteScore
31.50
自引率
0.50%
发文量
24
期刊介绍: The Annual Review of Clinical Psychology is a publication that has been available since 2005. It offers comprehensive reviews on significant developments in the field of clinical psychology and psychiatry. The journal covers various aspects including research, theory, and the application of psychological principles to address recognized disorders such as schizophrenia, mood, anxiety, childhood, substance use, cognitive, and personality disorders. Additionally, the articles also touch upon broader issues that cut across the field, such as diagnosis, treatment, social policy, and cross-cultural and legal issues. Recently, the current volume of this journal has transitioned from a gated access model to an open access format through the Annual Reviews' Subscribe to Open program. All articles published in this volume are now available under a Creative Commons Attribution License (CC BY), allowing for widespread distribution and use. The journal is also abstracted and indexed in various databases including Scopus, Science Citation Index Expanded, MEDLINE, EMBASE, CINAHL, PsycINFO, and Academic Search, among others.
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