Thought disorder is a pernicious and nonspecific aspect of numerous serious mental illnesses (SMIs) and related conditions. Despite decades of empirical research on thought disorder, our present understanding of it is poor, our clinical assessments focus on a limited set of extreme behaviors, and treatments are palliative at best. Applying a Research Domain Criteria (RDoC) framework to thought disorder research offers advantages to explicate its phenotype; isolate its mechanisms; and develop more effective assessments, treatments, and potential cures. In this commentary, we discuss ways in which thought disorder can be understood within the RDoC framework. We propose operationalizing thought disorder within the RDoC construct of language using psycholinguistic sciences, to help objectify and quantify language within individuals; technologically sophisticated paradigms, to allow naturalistic behavioral sampling techniques with unprecedented ecological validity; and computational modeling, to account for a network of interconnected and dynamic linguistic, cognitive, affective, and social functions. We also highlight challenges for understanding thought disorder within an RDoC framework. Thought disorder likely does not occur as an isomorphic dysfunction in a single RDoC construct, but rather, as multiple potential dysfunctions in a network of RDoC constructs. Moreover, thought disorder is dynamic over time and context within individuals. In sum, RDoC is a useful framework to integrate multidisciplinary research efforts aimed at operationalizing, understanding, and ameliorating thought disorder.

译文

思想障碍是许多严重精神疾病 (smm) 和相关疾病的有害和非特异性方面。尽管对思想障碍进行了数十年的实证研究,但我们目前对思想障碍的理解很差,我们的临床评估集中在有限的极端行为上,而治疗充其量只是姑息性的。将研究领域标准 (RDoC) 框架应用于思想障碍研究可以提供优势来阐明其表型; 分离其机制; 并开发更有效的评估,治疗和潜在的治疗方法。在本评论中,我们讨论了在RDoC框架内理解思维障碍的方式。我们建议使用心理语言学科学在RDoC语言结构中操作思维障碍,以帮助客观化和量化个人中的语言; 技术复杂的范式,以允许具有前所未有的生态有效性的自然主义行为采样技术; 和计算建模,以解决相互联系和动态的语言,认知,情感,和社会功能。我们还强调了在RDoC框架内理解思维障碍的挑战。思维障碍可能不是在单个RDoC构建体中作为同构功能障碍而发生的,而是在RDoC构建体网络中作为多种潜在功能障碍而发生的。此外,思维障碍在个体内部随着时间和背景的变化是动态的。总而言之,RDoC是一个有用的框架,可以整合旨在实施,理解和改善思想障碍的多学科研究工作。

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