Academic Journal
Integrating dynamical systems theory and phenomenology to enhance early identification and treatment of psychotic disorders.
| Τίτλος: | Integrating dynamical systems theory and phenomenology to enhance early identification and treatment of psychotic disorders. |
|---|---|
| Συγγραφείς: | Feyaerts J; Department of Clinical Psychology, Ghent University, Ghent, Belgium. Electronic address: jasper.feyaerts@ugent.be., Brar PS; Department of Clinical Psychology, Ghent University, Ghent, Belgium; Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA., Sass L; Department of Clinical Psychology, Graduate School of Applied and Professional Psychology, Rutgers University, Piscataway, NJ, USA., Nelson B; Orygen, Melbourne, VIC, Australia; Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia. |
| Πηγή: | The lancet. Psychiatry [Lancet Psychiatry] 2026 Mar; Vol. 13 (3), pp. 255-265. Date of Electronic Publication: 2025 Oct 09. |
| Τύπος έκδοσης: | Journal Article; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Country of Publication: England NLM ID: 101638123 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2215-0374 (Electronic) Linking ISSN: 22150366 NLM ISO Abbreviation: Lancet Psychiatry Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Kidlington, Oxford : Elsevier, [2014]- |
| Ιατρικοί όροι (MeSH): | Psychotic Disorders*/diagnosis , Psychotic Disorders*/therapy , Psychotic Disorders*/psychology , Schizophrenia*/diagnosis , Schizophrenia*/therapy , Systems Theory*, Humans ; Early Diagnosis |
| Περίληψη: | In the past three decades, psychiatric research has increasingly focused on the early subthreshold stages of psychosis, with the aim of improving the early identification and treatment of individuals at increased risk of psychotic disorder. Yet, despite considerable research effort, current early psychosis research faces several limitations. In this Personal View, we consider how integrating principles and insights from dynamical systems theory and the phenomenological self-disturbance model of schizophrenia can enhance understanding and prediction of psychosis (on both an individual and group level). We argue that this integration allows the specification of causal processes-ie, distinctive alterations of self-awareness and reality-awareness-whose dynamics can be modelled in dynamical systems terms to anticipate future onset and recurrence of psychotic episodes. We consider how insights afforded by this approach could help to improve early personalised and targeted therapeutic intervention. Empirical hypotheses emerging from this model require testing through intensive longitudinal designs and assessment approaches informed by phenomenological research. To conclude, we discuss theoretical and methodological challenges related to the implementation of our proposal. (Copyright © 2025 Elsevier Ltd. All rights reserved, including those for text and data mining, AI training, and similar technologies.) |
| Competing Interests: | Declaration of interests We declare no competing interests. |
| Entry Date(s): | Date Created: 20251012 Date Completed: 20260220 Latest Revision: 20260221 |
| Update Code: | 20260222 |
| DOI: | 10.1016/S2215-0366(25)00244-5 |
| PMID: | 41077055 |
| Βάση Δεδομένων: | MEDLINE |
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