The levels problem in psychopathology.

Abstract:

:Psychiatric disorders are studied at multiple levels, but there is no agreement on how these levels are related to each other, or how they should be understood in the first place. In this paper, I provide an account of levels and their relationships that is suited for psychopathology, drawing from recent debates in philosophy of science. Instead of metaphysical issues, the focus is on delivering an understanding of levels that is relevant and useful for scientific practice. I also defend a pragmatic approach to the question of reduction, arguing that even in-principle reductionists should embrace pluralism in practice. Finally, I discuss the benefits and challenges in integrating explanations and models of different levels.

journal_name

Psychol Med

journal_title

Psychological medicine

authors

Eronen MI

doi

10.1017/S0033291719002514

subject

Has Abstract

pub_date

2019-09-24 00:00:00

pages

1-7

eissn

0033-2917

issn

1469-8978

pii

S0033291719002514

pub_type

杂志文章
  • Divergent subcortical activity for distinct executive functions: stopping and shifting in obsessive compulsive disorder.

    abstract:BACKGROUND:There is evidence of executive function impairment in obsessive compulsive disorder (OCD) that potentially contributes to symptom development and maintenance. Nevertheless, the precise nature of these executive impairments and their neural basis remains to be defined. METHOD:We compared stopping and shiftin...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291715002330

    authors: Morein-Zamir S,Voon V,Dodds CM,Sule A,van Niekerk J,Sahakian BJ,Robbins TW

    更新日期:2016-03-01 00:00:00

  • Adolescents and adults at clinical high-risk for psychosis: age-related differences in attenuated positive symptoms syndrome prevalence and entanglement with basic symptoms.

    abstract:BACKGROUND:The attenuated positive symptoms syndrome (APSS) is considered an at-risk indicator for psychosis. However, the characteristics and developmental aspects of the combined or enriched risk criteria of APSS and basic symptom (BS) criteria, including self-experienced cognitive disturbances (COGDIS) remain under-...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291715002627

    authors: Gerstenberg M,Theodoridou A,Traber-Walker N,Franscini M,Wotruba D,Metzler S,Müller M,Dvorsky D,Correll CU,Walitza S,Rössler W,Heekeren K

    更新日期:2016-04-01 00:00:00

  • Smooth pursuit deficits in schizophrenia, affective disorder and obsessive-compulsive disorder.

    abstract:BACKGROUND:In schizophrenia, affective disorders, and obsessive-compulsive disorder (OCD) dysfunction of frontal neuronal circuits has been suggested. Such impairments imply corresponding oculomotor deficits. METHOD:Eye movement response to foveofugal and foveopetal step-ramp stimuli was recorded within the same study...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291703001314

    authors: Lencer R,Trillenberg P,Trillenberg-Krecker K,Junghanns K,Kordon A,Broocks A,Hohagen F,Heide W,Arolt V

    更新日期:2004-04-01 00:00:00

  • Major depressive episode among young adults: CIDI-SF versus SCAN consensus diagnoses.

    abstract:BACKGROUND:We aimed to evaluate the diagnostic accuracy of a highly structured diagnostic interview in relation to a semi-structured diagnostic procedure. We compared the World Health Organization Composite International Diagnostic Interview Short Form (CIDI-SF) in diagnosing major depressive episode (MDE) to consensus...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291702005810

    authors: Aalto-Setälä T,Haarasilta L,Marttunen M,Tuulio-Henriksson A,Poikolainen K,Aro H,Lönnqvist J

    更新日期:2002-10-01 00:00:00

  • Translating the promise of 5HT4 receptor agonists for the treatment of depression.

    abstract::Animal experimental studies suggest that 5-HT4 receptor activation holds promise as a novel target for the treatment of depression and cognitive impairment. 5-HT4 receptors are post-synaptic receptors that are located in striatal and limbic areas known to be involved in cognition and mood. Consistent with this, 5-HT4 ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291720000604

    authors: Murphy SE,de Cates AN,Gillespie AL,Godlewska BR,Scaife JC,Wright LC,Cowen PJ,Harmer CJ

    更新日期:2020-04-03 00:00:00

  • Attention bias toward threat is associated with exaggerated fear expression and impaired extinction in PTSD.

    abstract:BACKGROUND:Post-traumatic stress disorder (PTSD) develops in a minority of traumatized individuals. Attention biases to threat and abnormalities in fear learning and extinction are processes likely to play a critical role in the creation and/or maintenance of PTSD symptomatology. However, the relationship between these...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291711001565

    authors: Fani N,Tone EB,Phifer J,Norrholm SD,Bradley B,Ressler KJ,Kamkwalala A,Jovanovic T

    更新日期:2012-03-01 00:00:00

  • Do risk factors for suicidal behavior differ by affective disorder polarity?

    abstract:BACKGROUND:Suicide is a leading cause of death and has been strongly associated with affective disorders. The influence of affective disorder polarity on subsequent suicide attempts or completions and any differential effect of suicide risk factors by polarity were assessed in a prospective cohort. METHOD:Participants...

    journal_title:Psychological medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1017/S0033291708004078

    authors: Fiedorowicz JG,Leon AC,Keller MB,Solomon DA,Rice JP,Coryell WH

    更新日期:2009-05-01 00:00:00

  • Obstetric complications, treatment response and brain morphology in adult-onset and early-onset males with schizophrenia.

    abstract:BACKGROUND:Substantial variability in age at onset of illness and course of illness exists between patients with schizophrenia. Recent studies suggest that age at illness onset may be useful in defining biologically and clinically distinct subgroups of patients. METHODS:Two hundred and ten males with schizophrenia wer...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291797006405

    authors: Smith GN,Kopala LC,Lapointe JS,MacEwan GW,Altman S,Flynn SW,Schneider T,Falkai P,Honer WG

    更新日期:1998-05-01 00:00:00

  • The effect of COMT, BDNF, 5-HTT, NRG1 and DTNBP1 genes on hippocampal and lateral ventricular volume in psychosis.

    abstract:BACKGROUND:Morphometric endophenotypes which have been proposed for psychotic disorders include lateral ventricular enlargement and hippocampal volume reductions. Genetic epidemiological studies support an overlap between schizophrenia and bipolar disorder, and COMT, BDNF, 5-HTT, NRG1 and DTNBP1 genes have been implica...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291709990316

    authors: Dutt A,McDonald C,Dempster E,Prata D,Shaikh M,Williams I,Schulze K,Marshall N,Walshe M,Allin M,Collier D,Murray R,Bramon E

    更新日期:2009-11-01 00:00:00

  • The effect of digoxin on the response to lithium therapy in mania.

    abstract::Patients suffering from manic-depressive psychosis, manic type (ICD 296.0), were treated with lithium carbonate and randomly allocated to two groups, one received digoxin and the other matching placebo for 7 days. Severity of mania was rated by psychiatrists on the Manic Rating Scale and Analogue Line on days 0 and 7 ...

    journal_title:Psychological medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1017/s0033291700043282

    authors: Chambers CA,Smith AH,Naylor GJ

    更新日期:1982-02-01 00:00:00

  • Mood and anxiety disorders across the adult lifespan: a European perspective.

    abstract:BACKGROUND:The World Mental Health Survey Initiative (WMHSI) has advanced our understanding of mental disorders by providing data suitable for analysis across many countries. However, these data have not yet been fully explored from a cross-national lifespan perspective. In particular, there is a shortage of research o...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291713001116

    authors: McDowell RD,Ryan A,Bunting BP,O'Neill SM,Alonso J,Bruffaerts R,de Graaf R,Florescu S,Vilagut G,de Almeida JM,de Girolamo G,Haro JM,Hinkov H,Kovess-Masfety V,Matschinger H,Tomov T

    更新日期:2014-03-01 00:00:00

  • Some psychometric properties of the CAMCOG.

    abstract::The CAMCOG, the cognitive section of the Cambridge Examination for Mental Disorders of the Elderly (CAMDEX), was administered twice to 53 patients with a clinical diagnosis ranging from no dementia to severe dementia. The stability of the total CAMCOG score was high (0.97). Patients with less than moderate dementia we...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700039003

    authors: Lindeboom J,Ter Horst R,Hooyer C,Dinkgreve M,Jonker C

    更新日期:1993-02-01 00:00:00

  • Cognitive remediation improves memory and psychosocial functioning in first-episode psychiatric out-patients.

    abstract:BACKGROUND:Cognitive remediation (CR) is an effective treatment for several psychiatric disorders. To date, there have been no published studies examining solely first-episode psychiatric cohorts, despite the merits demonstrated by early intervention CR studies. The current study aimed to assess the effectiveness of CR...

    journal_title:Psychological medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S0033291712002127

    authors: Lee RS,Redoblado-Hodge MA,Naismith SL,Hermens DF,Porter MA,Hickie IB

    更新日期:2013-06-01 00:00:00

  • Probabilistic reasoning in obsessive-compulsive and delusional disorders.

    abstract:BACKGROUND:Delusional disorder (DD) and obsessive-compulsive disorder (OCD) have been investigated in previous studies using probabilistic reasoning paradigms and abnormalities in each group have been reported. No study to date has compared results between these groups. This study compares patients with these disorders...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291796004175

    authors: Fear CF,Healy D

    更新日期:1997-01-01 00:00:00

  • Evidence for an interrelated cluster of Hallucinatory experiences in the general population: an incidence study.

    abstract:BACKGROUND:Although hallucinations have been studied in terms of prevalence and its associations with psychopathology and functional impairment, very little is known about sensory modalities other than auditory (i.e. haptic, visual and olfactory), as well the incidence of hallucinations, factors predicting incidence an...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291720000793

    authors: Moriyama TS,Drukker M,Guloksuz S,Ten Have M,de Graaf R,van Dorsselaer S,Gunther N,Bak M,van Os J

    更新日期:2020-04-22 00:00:00

  • Significance of androgen levels in the aetiology and treatment of homosexuality.

    abstract::Serum total androgens were estimated by radioimmunoassay on blood samples of treatment-seeking homosexuals and heterosexual controls. There was no significant difference in androgen levels between the homosexual and control group, nor was there any relationship between androgen levels and response to treatment. These ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700004396

    authors: James S,Carter RA,Orwin A

    更新日期:1977-08-01 00:00:00

  • Continuation cognitive-behavioural therapy maintains attributional style improvement in depressed patients responding acutely to fluoxetine.

    abstract:BACKGROUND:Little is known about how continuation and maintenance cognitive-behavioural therapy (CBT) influences important psychological constructs that may be associated with long-term outcome of major depressive disorder. The goal of this study was to examine whether CBT would help maintain attributional style change...

    journal_title:Psychological medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1017/s0033291703001028

    authors: Petersen T,Harley R,Papakostas GI,Montoya HD,Fava M,Alpert JE

    更新日期:2004-04-01 00:00:00

  • Diagnostic accuracy of a brief screening tool for attention deficit hyperactivity disorder in UK prison inmates.

    abstract:BACKGROUND:Attention deficit hyperactivity disorder (ADHD) is overrepresented in prison, making it imperative to identify a screening tool that can be quickly applied to efficiently detect the disorder. We explored the discrimination ability of a widely used ADHD screen, the Barkley Adult ADHD Rating Scale (BAARS-IV), ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291716000039

    authors: Young S,González RA,Mutch L,Mallet-Lambert I,O'Rourke L,Hickey N,Asherson P,Gudjonsson GH

    更新日期:2016-05-01 00:00:00

  • Reduced contextual effects on visual contrast perception in schizophrenia and bipolar affective disorder.

    abstract:BACKGROUND:The salience of a visual stimulus is often reduced by nearby stimuli, an effect known as surround suppression of perceived contrast, which may help in locating the borders of an object. Weaker surround suppression has been observed in schizophrenia but it is unclear whether this abnormality is present in oth...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291715001439

    authors: Schallmo MP,Sponheim SR,Olman CA

    更新日期:2015-12-01 00:00:00

  • The impact of the Val158Met catechol-O-methyltransferase genotype on neural correlates of sad facial affect processing in patients with bipolar disorder and their relatives.

    abstract:BACKGROUND:The Met allele of the catechol-O-methyltransferase (COMT) valine-to-methionine (Val158Met) polymorphism is known to affect dopamine-dependent affective regulation within amygdala-prefrontal cortical (PFC) networks. It is also thought to increase the risk of a number of disorders characterized by affective mo...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291710001431

    authors: Lelli-Chiesa G,Kempton MJ,Jogia J,Tatarelli R,Girardi P,Powell J,Collier DA,Frangou S

    更新日期:2011-04-01 00:00:00

  • Case definition and case identification in psychiatric epidemiology: review and assessment.

    abstract::Psychiatric epidemiology has advanced considerably since early studies of hospital populations. The direction of this advance has been away from the study of populations of hospital psychiatric patients towards the study of psychiatric disorder in general practice and the community as a whole. Just as the populations ...

    journal_title:Psychological medicine

    pub_type: 杂志文章,评审

    doi:10.1017/s0033291700039635

    authors: Williams P,Tarnopolsky A,Hand D

    更新日期:1980-02-01 00:00:00

  • Cost-effectiveness of cognitive behavioural therapy, graded exercise and usual care for patients with chronic fatigue in primary care.

    abstract:BACKGROUND:Chronic fatigue is a common condition, frequently presenting in primary care. The aim of this study was to compare the cost-effectiveness of cognitive behavioural therapy (CBT) and graded exercise therapy (GET), and to compare therapy with usual care plus a self-help booklet (BUC). METHOD:Patients drawn fro...

    journal_title:Psychological medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1017/s0033291704001928

    authors: McCrone P,Ridsdale L,Darbishire L,Seed P

    更新日期:2004-08-01 00:00:00

  • Depression, depressive symptoms, and rate of hippocampal atrophy in a longitudinal cohort of older men and women.

    abstract:BACKGROUND:Several studies have reported smaller hippocampal volume (HcV) in depression patients; however, the temporality of the association remains unknown. One proposed hypothesis is that depression may cause HcV loss. This study evaluates whether previous depression and recent depressive symptoms are associated wit...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291714003055

    authors: Elbejjani M,Fuhrer R,Abrahamowicz M,Mazoyer B,Crivello F,Tzourio C,Dufouil C

    更新日期:2015-07-01 00:00:00

  • Awareness of cardiac function in anxious, phobic and hypochondriacal patients.

    abstract::Awareness of pulse rate was tested in 60 psychiatric out-patients with anxiety, phobic or hypochondriacal neuroses by asking them to record how fast their hearts were beating during exposure to short film sequences. Correlations between subjective and objective heart rate (ECG) were significantly higher in anxious and...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700039726

    authors: Tyrer P,Lee I,Alexander J

    更新日期:1980-02-01 00:00:00

  • Strategies of research on economic instability and health.

    abstract::Recent research on unemployment and health has depended heavily on macro-social and ecological data analyses. In order to redress this imbalance, the report summarizes the methods and results of a prospective study of a permanent factory shutdown, thereby illustrating and dissecting some of the strengths and weaknesse...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700055744

    authors: Kasl SV

    更新日期:1982-08-01 00:00:00

  • The neural basis of flashback formation: the impact of viewing trauma.

    abstract:BACKGROUND:Psychological traumatic events, such as war or road traffic accidents, are widespread. A small but significant proportion of survivors develop post-traumatic stress disorder (PTSD). Distressing, sensory-based involuntary memories of trauma (henceforth 'flashbacks') are the hallmark symptom of PTSD. Understan...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291712002358

    authors: Bourne C,Mackay CE,Holmes EA

    更新日期:2013-07-01 00:00:00

  • Comparison of alternative models for personality disorders, II: 6-, 8- and 10-year follow-up.

    abstract:BACKGROUND:Several conceptual models have been considered for the assessment of personality pathology in DSM-5. This study sought to extend our previous findings to compare the long-term predictive validity of three such models: the five-factor model (FFM), the schedule for nonadaptive and adaptive personality (SNAP), ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291711002601

    authors: Morey LC,Hopwood CJ,Markowitz JC,Gunderson JG,Grilo CM,McGlashan TH,Shea MT,Yen S,Sanislow CA,Ansell EB,Skodol AE

    更新日期:2012-08-01 00:00:00

  • Genetic and environmental contributions to diagnostic fluctuation in anorexia nervosa and bulimia nervosa.

    abstract:BACKGROUND:Anorexia nervosa and bulimia nervosa are two severe eating disorders associated with high premature mortality, suicidal risk and serious medical complications. Transition between anorexia nervosa and bulimia nervosa over the illness course and familial co-aggregation of the two eating disorders imply aetiolo...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291719002976

    authors: Yao S,Larsson H,Norring C,Birgegård A,Lichtenstein P,DʼOnofrio BM,Almqvist C,Thornton LM,Bulik CM,Kuja-Halkola R

    更新日期:2021-01-01 00:00:00

  • Fronto-thalamic structural and effective connectivity and delusions in schizophrenia: a combined DTI/DCM study.

    abstract:BACKGROUND:Schizophrenia (SZ) is a complex disorder characterized by a range of behavioral and cognitive symptoms as well as structural and functional alterations in multiple cortical and subcortical structures. SZ is associated with reduced functional network connectivity involving core regions such as the anterior ci...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291720000859

    authors: Csukly G,Szabó Á,Polgár P,Farkas K,Gyebnár G,Kozák LR,Stefanics G

    更新日期:2020-04-24 00:00:00

  • The capacity of people with a 'mental disability' to make a health care decision.

    abstract:BACKGROUND:Based on the developing clinical and legal literature, and using the framework adopted in draft legislation, capacity to make a valid decision about a clinically required blood test was investigated in three groups of people with a 'mental disability' (i.e. mental illness (chronic schizophrenia), 'learning d...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700001768

    authors: Wong JG,Clare CH,Holland AJ,Watson PC,Gunn M

    更新日期:2000-03-01 00:00:00