基于三元精神病态模型的精神病态认知-情感加工框架

精神病态作为暴力犯罪、累犯和青少年犯罪的重要预测变量, 在临床心理学和司法领域受到了广泛重视。三元精神病态模型通过大胆、卑劣和去抑制三个维度对精神病态进行了操作化定义, 反映了精神病态在神经生物学维度上存在的认知情感加工缺陷。其中, 低威胁敏感性是精神病态大胆的主要病因学基础; 而执行功能受损, 尤其是注意调节缺陷则导致了精神病态的去抑制倾向; 而与情绪识别存在联系的共情缺陷可能是卑劣的深层原因。未来研究中仍需关注精神病态的概念化问题, 以及不同精神病态特质之间是否存在共同的潜在病因学基础, 探索精神病态特质在生命早期阶段的体现从而进行及时有效的干预。

A cognition-affective processing framework of psychopathy based on the TriPM model

As an important predictor of violent crime, recidivism, and juvenile delinquency, psychopathy has received extensive attention in clinical psychology and justice research. Recent studies have conceptualized psychopathy as multidimensional constructs, proposed to further understand various phenotypic constructs of psychopathy through the interaction of distinct psychopathic dispositions. The Triarchic Model of Psychopathy (TriPM) conceptualizing psychopathy as three phenotypic structures (boldness, meanness, and disinhibition) with independent etiologic pathways, provides a framework for integrating the previous findings of the assessment, development trajectory, and neurobiological process of psychopathy.