学习和/或治疗?学习环境在健康领域的概念

H. Lahitte, M. Bacigalupe
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摘要

心理健康不仅仅是一个学科的研究对象,而是包括人类学在内的不同知识领域的研究对象。如果考虑到(1)精神疾病与学习有关,(2)学习发生在主体与其环境之间的关系背景中,那么可以假设背景的变化可能意味着主体健康的变化。因此,近似于“治愈”的概念可能包括建立和改造一种思维习惯的想法。通过改变一种思维习惯,个人可以改变他们的处境,改善他们与环境的关系,从而趋向于重新平衡和健康。在这项工作中,这一假设得到了发展,并通过五个韦尼克·柯萨科夫综合征住院患者学习解决支持假设的河内塔的经验证据得到了证明。与人们对健忘症患者的预期相反,实验结果表明,参与者不仅学会了任务(原型学习),而且通过练习和训练提高了他们的执行力(后学习),并达到了一定程度的灵活性。研究表明,这种行为变化至少部分取决于考官-参与者关系中所创造的情境。人本身并没有生病,但他们生病只是与他们周围的环境和条件有关。关键词:学习,环境,健康,治疗。
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Learning and/or Cure? The notion of learning context in the health ambit
Mental health is not the object of study of only one discipline, but of different fields of knowledge including anthropology. If it is considered that (1) mental illness is related to learning and (2) learning happens in a relational context between the subject and his/her environment, it is possible to assume that a change in the context could mean changes in the subject’s health. Therefore, an approximation to the concept of “cure” may include the idea of building and reforming a habit of thought. By modifying a habit of thought, the individual can change their situation and improve their relationships with the environment, which tends to re-equilibration and health. In this work, this hypothesis is developed and  empirical evidence was shown with five Wernicke Korsakoff’s Syndrome inpatients learning to solve the Tower of Hanoi that supports the assumptions. Conversely to what is expected to amnesic people, empirical results showed that the participants not only learned the task (proto-learning) but also improved their execution with practise and training (deutero-learning) and reached some level of flexibility. It is suggested that this behavioural change depends, at least in part, on the context created in the examiner-participant relationship. People are not ill per se but they are ill only in relation to an environment which surrounds and conditions them.   Key words: Learning, environment, health, cure.
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