儿童时期的压力、创伤和神经突触损失

English | 2024 | ISBN-10: 9819728029 | 212 pages| Epub PDF (True) | 21 MB

This book is concerned with the extent to which childhood stress and trauma lead in relative maturity to major depression (MDD) and post-traumatic stress disorder (PTSD). The loss of synapses in the cortex, accompanying childhood maltreatment, is identified as a principal mechanism for developing these disorders. Considerable attention is given to identifying interventions that will restore lost synapses, so ameliorating these mental illnesses. The book describes the emergence of abnormal psychology in youth and adult life following childhood maltreatment. Of considerable immediate concern is the extent to which such maltreatment significantly enhances the tendency to suicide and suicidality. Next, consideration is given as to how personality disorders, such as obsessive-compulsive disorder, the very dangerous borderline personality disorder, and the publicly offensive narcissistic personality disorder, arise from childhood maltreatment. The classification or nosology of mental and personality disorders as well as the principal psychoanalytic approaches available for their treatment are sketched together with recent attempts to use novel constructs that bridge between symptoms (based on patients’ behavior and self-descriptions). Recently, new techniques have been developed for brain imaging and non-invasive and localized brain stimulation.

这本书探讨了儿童时期的压力和创伤在成年期发展为重度抑郁症（MDD）和创伤后应激障碍（PTSD）的程度。伴随儿童虐待出现的脑皮层中神经元连接的丧失，被识别为导致这些疾病的主要机制。该书特别关注确定能够恢复丢失神经元连接的方法，以缓解这些精神疾病。 书中描述了儿童虐待引发的青年期和成年期异常心理学现象。目前迫切需要关注的是，这种虐待如何显著增加了自杀倾向及自杀行为的可能性。接下来讨论儿童虐待是如何导致人格障碍，比如强迫性障碍、极具危险性的边缘型人格障碍以及公开冒犯性的 narcissistic 人格障碍等问题。书中简要概述了精神和人格疾病的分类或分类学方法，以及用于治疗这些疾病的主要心理分析方法，并提到最近尝试使用能够填补症状（基于患者的行为描述）之间的桥梁的新构造。 最近，开发出了新的技术来对大脑进行成像并实施非侵入性和局部脑刺激。

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