| 523 | 7 | 56 |
| 下载次数 | 被引频次 | 阅读次数 |
在心灵主义进路的影响下自闭症一直被认为是由于心理理论模块功能障碍所导致的,然而很多早在儿童形成心理理论之前的婴儿时期就表现出的感官整合和身体知觉等方面的异常表明心理理论缺陷可能并不是自闭症的根源。现象学精神病理学把自闭症的紊乱根源定位于主体之间,强调要重视对自我觉知和意向性的描述。以身体自我障碍为主的自闭症的非社会性缺陷在以往研究中受到的关注度远不如社会性方面的缺陷,但越来越多的研究表明其对于自闭症的早期诊断和后期干预都有着重要的意义。现象学蕴涵了超越经验主义与理智主义的认识论优势,现象学精神病理学在一些疾病的探索中也起到了较大的推动作用。本文围绕自闭症的身体意象和身体图式受损、自我-他者分化障碍以及神经功能障碍等方面,给出基于现象学精神病理学视角的解读。
Abstract:Under the influence of mentalistic approach, autism has been thought to be caused by a dysfunction of Theory of Mind modules. However, many abnormalities in sensory integration and body perception that appeared in infancy, a developmental period long before the formation of children's theory of mind,indicate that the deficiency of theory of mind may not be the root of autism. Phenomenological psychopathology places the disorders of autism among subjects, and emphasizes the description of self-awareness and intentionality. For a long time, non-social deficits of autism, which are mainly bodily-self disorders, have received far less attention than social deficits, whilst more and more studies have shown that they are of great significant for the early diagnosis and intervention of autism. Phenomenology contains epistemological advantages over empiricism and rationalism, and phenomenological psychopathology also plays an important part in the exploration of some diseases. This paper focuses on the disorders of body image, body schema, self-other differentiation, and neural functions manifested among autism patients, and tries to give an interpretation from the perspective of phenomenological psychopathology.
(1)Kanner,L.“Autistic disturbances of affective contact”,Nervous Child,1943,2(3),217~250.
(2)美国精神医学学会:《精神障碍诊断与统计手册(第五版)》,张道龙等译,北京大学出版社2018版,第46~47、83~84页。
(3)(25)Fuchs,T.“Pathologies of intersubjectivity in autism and schizophrenia”,Journal of Consciousness Studies,2015,22(1~2),191~214.
(4)Gallagher,S.“In defense of phenomenological approaches to social cognition:interacting with the critics”,Review of Philosophy and Psychology,2012,3,187~212.
(5)徐献军:《从现象学到精神病学——论闵可夫斯基的现象学精神病学》,《浙江大学学报(人文社会科学版)》2017年第5期。
(6)Paillard,J.“Body schema and body image-a double dissociation”,In:Gantchev,G.N.,Mori,S.and Massion,J.(Eds.).Motor Control,Today and Tomorrow,1999,197~214.
(7)de Vignemont,F.“Body schema and body image-pros and cons”,Neuropsychologia,2010,48(3),669~680.
(8)(27)Gallagher,S.“Philosophical conceptions of the self:implications for cognitive science”,Trends in Cognitive Sciences,2000,4(1),14~21.
(9)Schopler,E.“The development of body image and symbol formation through bodily contact with an autistic child”,Journal of Child Psychology and Psychiatry,1962,3(3~4),12.
(10)Grandin,T.“Calming effects of deep touch pressure in patients with autistic disorder,college students,and animals”,Journal of Child and Adolescent Psychopharmacology,1992,2(1),63~72.
(11)Sacks,O.An Anthropologist on Mars:Seven Paradoxical Tales,New York:Knopf,1995,248,257~258.
(12)(16)Asada,K.,Tojo,Y.,Hakarino,K.,Saito,A.,Hasegawa,T.and Kumagaya,S.“Body image in autism:evidence from body size estimation”,Journal of Autism and Developmental Disorders,2018,48(2),611~618.
(13)Parnas,J.and Bovet,P.“Research in psychopathology:epistemologic issues”,Comprehensive Psychiatry,1995,32(3),1~15.
(14)Sass,L.and Parnas,J.“Schizophrenia,consciousness,and the self”,Schizophrenia Bulletin,2003,29(3),427~444.
(15)Gessaroli,E.,Andreini,V.,Pellegri,E.and Frassinetti,F.“Self-face and self-body recognition in autism”Research in Autism Spectrum Disorders,2013,7,793~800.
(17)Bertilsson,I.,Gyllensten,A.L.,Opheim,A.,Gard,G.and Hammarlund,C.S.“Understanding one’s body and movements from the perspective of young adults with autism:a mixed-methods study”,Research in Developmental Disabilities,2018,78,44~54.
(18)Koch,S.C.,Gaida,J.,Kortum,R.,Bodingbauer,B.and Manders,E.“Body image in autism:an exploratory study on the effects of dance movement therapy”,Autism Open Access,2016,6(2),1~7.
(19)Chaiklin,S.and Wengrower,H.The Art and Science of Dance/Movement Therapy:Life is Dance,New York:Routledge,2009,171~181.
(20)Scharoun,S.M.,Reinders,N.J.,Bryden,P.J.and Fletcher,P.C.“Dance/movement therapy as an intervention for children with autism spectrum disorders”,American Journal of Dance Therapy,2014,36,209~228.
(21)Hartshorn,K.,Olds,L.,Field,T.,Delage,J.,Cullen,C.and Escalona,A.“Creative movement therapy benefits children with autism”,Early Child Development and Care,2001,166(1),1~5.
(22)Torrance,J.“Autism,aggression,and developing a therapeutic contract”,American Journal of Dance Therapy,2003,25(2),97~109.
(23)Mateos-Moreno,D.and Atencia-Dona,L.(2013).“Effect of a combined dance/movement and music threapy on young adults diagnosed with severe autism”,The Arts in Psychotherapy,2013,40(5),465~472.
(24)徐献军:《现象学对于认知科学的意义》,浙江大学出版社2016年版,第96~97页。
(26)Gallup,G.G.“Chimpanzees:self-recognition”,Science,1970,167,86.
(28)Botvinick,M.and Cohen,J.“Rubber hand‘feel’touch that eyes see”,Nature,391(6669),756.
(29)Haag,G.,Botbol,M.,Graignic,R.,Perez-Diaz,F.,Bronsard,G.,Kermarrec,S.,…and Jardin,F.“The autism psychodynamic evaluation of changes(APEC)scale:a reliability and validity study on a newly developed standardized psychodynamic assessment for youth with pervasive developmental disorders”,Journal of Physiology-Paris,2010,104(6),323~336.
(30)Cascio,C.J.,Foss-Feig,J.H.,Burnette,C.P.,Heacock,J.L.and Cosby,A.A.“The rubber hand illusion in children with autism spectrum disorders:delayed influence of combined tactile and visual input on proprioception”,Autism,2012,16(4),406~419.
(31)Schauder,K.B.,Mash,L.E.,Bryant,L.K.and Cascio,C.J.“Interoceptive ability and body awareness in autism spectrum disorder”,Journal of Experimental Child Psychology,2015,131,193~200.
(32)Guerra,S.,Spoto,A.,Parma,V.,Straulino,E.and Castiello,U.“In sync or not in sync?Illusory body ownership in autism spectrum disorder”,?Research in Autism Spectrum Disorders,2017,41,1~7.
(33)Fuchs,T.“Phenomenology and psychopathology”,In:Gallagher,S.and Schmicking,D.(Eds.).Hand of Phenomenology and Cognitive Science,Dordrecht:Spring,2010,547~573.
(34)Tononi,G.and Edelman,G.M.“Schizophrenia and the mechanism of conscious integration”,Brain Research Reviews,2000,31(2~3),391~400.
(35)Tordjman,S.,Celume,M.P.,Denis,L.,Motillon,T.and Keromnes,G.“Reframing schizophrenia and autism as bodily self-consciousness disorders leading to a deficit of theory of mind and empathy with social communication impairments”,Neuroscience and Biobehavioral Reviews,2019,103,401~413.
(36)Gallese,V.,Fadiga,L.,Fogassi,L.and Rizzolatti,G.“Action recognition in the premotor cortex”,Brain,1996,119(2),593~609.
(37)Keysers,C.and Gazzola,V.“Expanding the mirror:vicarious activity for actions,emotions and sensations”,Current Opinion in Neurobiology,2009,19(6),666~671.
(38)陈巍:《同感等于镜像化吗?——镜像神经元与现象学的理论兼容性及其争议》,《哲学研究》2019年第6期。
(39)Williams,J.H.,Whiten,A.,Suddendorf,T.and Perrett,D.I.“Imitation,mirror neurons and autism”,Neuroscience&Biobehavioral Reviews,2001,25(4),287~295.
(40)张静:《自我和自我错觉——基于橡胶手和虚拟手错觉的研究》,浙江大学出版社2017版,第85~87、93~98页。
(41)Murphy,C.M.,Christakou,A.,Giampietro,V.,Brammer,M.,Daly,E.M.,Ecker,C.and Rubia,K.“Abnormal functional activation and maturation of ventromedial prefrontal cortex and cerebellum during temporal discounting in autism spectrum disorder”,Human Brain Mapping,2017,38(11),5343~5355.
(42)Prat,C.S.,Stocco,A.,Neuhaus,E.and Kleinhans,N.M.“Basal ganglia impairments in autism spectrum disorder are related to abnormal signal gating to prefrontal cortex”,Neuropsychologia,2016,91,268~281.
(43)van der Meer,L.,Costafreda,S.,Aleman,A.and David,A.S.“Self-reflection and the brain:a theoretical review and meta-analysis of neuroimaging studies with implications for schizophrenia”,Neuroscience&Biobehavioral Reviews,2010,34(6),935~946.
(44)Donaldson,P.H.,Kirkovski,M.,Rinehart,N.J.and Enticott,P.G.“Autism-relevant traits interact with temporoparietal junction stimulation effects on social cognition:a high-definition transcranial direct current stimulation and electroencephalography study”,European Journal of Neuroscience,2017,47(6),669~681.
(45)Nobusako,S.,Nishi,Y.,Shuto,T.,Asano,D.,Osumi,M.and Morioka,S.“Transcranial direct current stimulation of the temporoparietal junction and inferior frontal cortex improves imitation-inhibition and perspective-taking with no effect on the autism-spectrum quotient score”,Frontiers in Behavioral Neuroscience,2017,11,84.
(46)Catmur,C.,Walsh,V.and Heyes,C.“Associative sequence learning:the role of experience in the development of imitation and the mirror system”,Philosophical Transactions of the Royal Society B:Biological Sciences,2009,364(1528),2369~2380.
(47)张静、陈巍:《自闭症谱系障碍人士的内感受研究进展》,《中国特殊教育》2019年第11期。
基本信息:
DOI:10.14167/j.zjss.2020.04.012
中图分类号:R749.94
引用信息:
[1]张静,李琳.现象学精神病理学视野下自闭症的身体自我障碍[J].浙江社会科学,2020,No.284(04):99-107+115+158.DOI:10.14167/j.zjss.2020.04.012.
基金信息:
教育部人文社科规划青年基金项目“自我错觉对自我的审视——基于虚拟现实技术的研究”(编号:17YJCZH243)的阶段性成果
2020-04-13
2020-04-13