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Social Behavior as a Transdiagnostic Marker of Resilience
Annual Review of Clinical Psychology ( IF 17.8 ) Pub Date : 2021-05-07 , DOI: 10.1146/annurev-clinpsy-081219-102046
Ruth Feldman 1, 2
Affiliation  

The recent shift from psychopathology to resilience and from diagnosis to functioning requires the construction of transdiagnostic markers of adaptation. This review describes a model of resilience that is based on the neurobiology of affiliation and the initial condition of mammals that mature in the context of the mother's body and social behavior. The model proposes three tenets of resilience—plasticity, sociality, and meaning—and argues that coordinated social behavior stands at the core sustaining resilience. Two lines in the maturation of coordinated social behavior are charted, across animal evolution and throughout human development, culminating in the mature human reciprocity of empathy, mutuality, and perspective-taking. Cumulative evidence across ages and clinical conditions and based on our behavioral coding system demonstrates that social reciprocity, defined by plasticity at the individual, dyadic, and group levels, denotes resilience, whereas the two poles of disengagement/avoidance and intrusion/rigidity characterize specific psychopathologies, each with a distinct behavioral signature. Attention to developmentally sensitive markers and to the dimension of meaning in human sociality may open new, behavior-based pathways to resilience.

中文翻译:


社会行为作为韧性的跨诊断标志

最近从精神病理学到复原力以及从诊断到功能的转变需要构建适应的跨诊断标记。这篇综述描述了一种弹性模型,该模型基于从属关系的神经生物学以及在母亲的身体和社会行为的背景下成熟的哺乳动物的初始条件。该模型提出了韧性的三个原则——可塑性、社会性和意义——并认为协调的社会行为是维持韧性的核心。绘制了协调社会行为成熟的两条线,跨越动物进化和整个人类发展,最终形成了成熟的人类同情、相互关系和观点采择的互惠。跨年龄和临床条件并基于我们的行为编码系统的累积证据表明,由个人、二元和群体级别的可塑性定义的社会互惠性表示弹性,而脱离/回避和侵入/僵化的两个极点表征特定的精神病理学,每个都有不同的行为特征。关注发展敏感标记和人类社会意义的维度可能会开辟新的、基于行为的恢复能力途径。

更新日期:2021-05-08
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