作为一种适应策略的反社会人格障碍

N. Pyatnitskiy, S. N. Enikolopov
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摘要

背景:在当代国内精神病学中,实际上缺乏对反社会型人格障碍的进化论解释。研究目的:分析进化论在理解反社会人格障碍(或称异化人格障碍)的起源和类型学方面的重要概念。材料和方法:使用所有可用的搜索引擎,以 "反社会心理病态 "和 "进化精神病学和心理学 "为关键词,对当代英语精神病学和心理学文献进行叙述性综述。讨论与结论:在英语精神病学和心理学文献中,反社会特质的情感成分(仅在 ICD-10 中得到强调)被称为 "原发性心理变态",而反社会特质的行为成分(与 "寻求感觉 "和 "过度活跃 "相关)被称为 "继发性 "心理变态。进化论和生态学方法强调攻击性和反社会行为的适应作用,将此类行为视为社会和性竞争中的 "高风险策略",虽然 "代价高昂",但却具有潜在的适应性(而非 "行为功能障碍")。将持续的反社会行为理解为一种利用他人信任和合作行为的社会 "诡计 "策略,是基于 R. Axelrod-W. Hamilton 的 "迭代 "囚徒策略。汉密尔顿的 "迭代 "囚徒困境。在 "囚徒困境 "进化模型中,参与者的回报取决于对 "体能 "的影响:生存和生育。在与个体的多次互动中,一种具有高流动性的反社会 "欺骗者 "得以存在,并在种群中以相当低的频率表现出来。动物和人类的非合作行为都会降低他人的生存能力,包括攻击行为、欺骗、背叛、捕食和社会寄生。从 "经济博弈 "概念的角度来看,具有亚临床表现的原发性精神变态特征(情感冷漠、操纵欲强、马基雅维利主义)的人被视为与合作伙伴的 "战略家":他们对那些他们认为 "高价值"(未来可能获得巨大利益)的合作伙伴给予互惠,而只对那些 "低价值 "的合作伙伴 "索取"、操纵和欺骗。从广义上讲,进化心理学家和精神病学家在反社会个体的特征中发现,"快速 "生活策略的一系列特性占主导地位,而 "快速策略 "的概念也被用来解释攻击性行为发生率的地域差异。
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Antisocial Personality Disorder as a Form of Adaptive Strategy
Background: in contemporary domestic psychiatry the evolutionary explanations of antisocial personality disorder are practically lacking. The aim of study: the analysis of the significant concepts of the evolutionary approach to understanding the origins and typology of antisocial, or dissocial, personality disorder. Material and methods: a narrative review of contemporary English-language psychiatric and psychological literature using all available search engines using the keywords “antisocial psychopathy” and “evolutionary psychiatry and psychology”. Discussion and conclusion: in English-language psychiatric and psychological literature the affective component of antisocial traits, emphasized only in ICD-10, is called “primary psychopathy,” while the behavioral component of antisocial traits, associated with “sensation seeking” and “hyperactivation,” is called “secondary” psychopathy. Evolutionary and ecological approaches emphasize the adaptive role of aggressive and antisocial behavior, viewing such behavior as a “high-risk strategy” in social and sexual competition, as “costly” but potentially adaptive (rather than as “behavioral dysfunctions”). The understanding of persistent antisocial behavior as a social “trickster” strategy exploiting the trust and cooperative behavior of others is based on the R. Axelrod-W. Hamilton “iterated” prisoner’s dilemma. In the Prisoner’s Dilemma evolutionary model, the player’s payoff is determined by the effects on “fitness”: survival and fertility. Participating in several interactions with individuals, an antisocial “deceiver” with high mobility is able to exist, manifesting itself with a fairly low frequency in the population. Non-cooperative behavior in both animals and humans reduces the fitness of others and includes aggressive behavior, deception, betrayal, predation and social parasitism. From the point of view of the concept of “economic games,” people with subclinically expressed primary psychopathic traits (emotional coldness, manipulativeness, Machiavellianism) are represented as “strategists” with cooperation partners: they give with reciprocity to those partners whom they consider “highly valuable” (with the potential for great benefits in future), and only “take”, manipulating and deceiving, from those of “low value”. In a broad sense, evolutionary psychologists and psychiatrists find in the characteristics of antisocial individuals a predominance of a set of properties of “fast” life strategies, while the concept of “fast strategies” is also used to explain geographical differences in the prevalence of aggressive behavior.
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