Astral Codex Ten Podcast feed 2024年07月17日
Diametrical Model of Autism and Schizophrenia
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本文探讨了精神分裂症与自闭症之间的关系,并介绍了社会大脑的二元论。该理论认为,精神分裂症和自闭症是社会大脑发展过程中两个极端方向的失败模式,分别对应着过度的“心理化”认知和过度的“机械化”认知。该理论解释了精神分裂症和自闭症之间的一些共同特征和相反特征,例如基因风险、胼胝体大小、吸烟习惯、橡胶手错觉、理性与创造力等。

🤔 精神分裂症和自闭症在基因、脑结构、行为和认知方面存在许多相反的特征。例如,许多增加自闭症风险的基因会降低精神分裂症风险,反之亦然。自闭症患者的胼胝体比正常人小,而精神分裂症患者的胼胝体比正常人更大。

🧠 社会大脑的二元论认为,精神分裂症和自闭症是社会大脑发展过程中两个极端方向的失败模式,分别对应着过度的“心理化”认知和过度的“机械化”认知。心理化认知是指理解他人心理状态的能力,机械化认知是指关注事物物理属性的能力。

💡 该理论可以解释许多精神分裂症和自闭症之间看似矛盾的特征。例如,自闭症患者倾向于过度理性,而精神分裂症患者则倾向于过度创造力。这可能是因为自闭症患者过度关注事物物理属性,而精神分裂症患者则过度关注他人心理状态。

🤔 该理论也解释了为什么精神分裂症和自闭症之间存在一些共同特征。例如,两者都可能出现社交障碍和认知困难。这是因为两者都是社会大脑发展过程中的失败模式,只是失败的方向不同。

🤔 该理论还解释了为什么一些自闭症患者可能表现出一些精神分裂症的特征,而一些精神分裂症患者也可能表现出一些自闭症的特征。这是因为两者之间存在一个连续谱,而不是截然分开的两种疾病。

🤔 该理论还解释了为什么精神分裂症和自闭症之间存在一些共同的风险因素。例如,两者都可能与遗传因素和环境因素有关。这是因为两者都是社会大脑发展过程中的一种异常现象。

🤔 该理论有助于我们更好地理解精神分裂症和自闭症,并为治疗和干预提供新的思路。例如,我们可以根据个体的心理化认知和机械化认知水平来制定不同的治疗方案。

🤔 该理论也提醒我们,社会大脑是一个复杂的系统,任何一种异常都可能导致不同的疾病。因此,我们需要更加重视社会大脑的健康,并采取措施预防社会大脑疾病的发生。

One interesting thing I took from Evolutionary Psychopathology was a better understanding of the diametrical theory of the social brain.

There’s been a lot of discussion over whether schizophrenia is somehow the “opposite” of autism. Many of the genes that increase risk of autism decrease risk of schizophrenia, and vice versa. Autists have a smaller-than-normal corpus callosum; schizophrenics have a larger-than-normal one. Schizophrenics smoke so often that some researchers believe they have some kind of nicotine deficiency; autists have unusually low smoking rates. Schizophrenics are more susceptible to the rubber hand illusion and have weaker self-other boundaries in general; autists seem less susceptible and have stronger self-other boundaries. Autists can be pathologically rational but tend to be uncreative; schizophrenics can be pathologically creative but tend to be irrational. The list goes on.

I’ve previously been skeptical of this kind of thinking because there are many things that autists and schizophrenics have in common, many autistics who seem a bit schizophrenic, many schizophrenics who seem a bit autistic, and many risk factors shared by both conditions. But Del Giudice, building on work by Badcock and Crespipresents the “diametrical model”: schizophrenia and autism are the failure modes of opposing sides of a spectrum from high functioning schizotypy to high functioning autism, ie from overly mentalistic cognition to overly mechanistic cognition.

Schizotypy is a combination of traits that psychologists have discovered often go together. It’s classified as a personality disorder in the DSM. But don’t get too caught up on that term – it’s a disorder in the same sense as narcissistic or antisocial tendencies, and like those conditions, some schizotypals do very well for themselves. Classic schizotypal traits include tendency toward superstition, disorganized communication, and nonconformity (if it sounds kind of like “schizophrenia lite”, that’s not really a coincidence).

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相关标签

精神分裂症 自闭症 社会大脑 二元论 心理化认知 机械化认知
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