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Ricerche di Psicologia/Psychological Research Journal - Open Access

Articoli

No. 4 (2022): Is it time to change the paradigm to address neural development disorders? From research to clinical practice

New paradigms and development disorders: Lines of change emerging from the debate

DOI
https://doi.org/10.3280/rip2022oa16047
Submitted
giugno 13, 2023
Published
2023-06-23

Abstract

This paper provides a synthesis of the several, significant articles received as a comment on the editorial by Antonietti et al. (2022) about the possibility and/or need to change paradigm to address and understand neurodevelopment disorders. The debate, together with reference to the relevant literature, has made it possible to highlight lines of change to address the complexity that characterizes the developmental trajectories at various levels of analysis. The multi-level approach is analyzed here through three constructs: 1) the biological and/or psychological vulnerability in interaction with the environment; 2) the development as an atypical organization of brain connections; 3) the procedural vision of reality. The proposed in-depth analysis starting from the choral comparison of the articles mentioned here allowed to highlight factors that are considered relevant for research, clinical diagnostic process and therapeutic intervention. Both academic and healthcare professionals training can be the way to promote knowledge and skills aimed at increased awareness of the change that is taking place.

References

  1. Adams, R. A., Huys, Q. J., & Roiser, J. P. (2016). Computational psychiatry: Towards a mathematically informed understanding of mental illness. Journal of Neurology, Neurosurgery and Psychiatry, 87(1), 53-63. DOI: 10.1136/jnnp-2015-310737.
  2. Antonietti, A., Borgatti, R., & Giorgetti, M. (2022). Cambiare paradigma per i disturbi del neurosviluppo? Dalla ricerca alla pratica clinica. Ricerche di Psicologia, 45(4), 1-12, DOI: 10.3280/rip2022oa14921.
  3. APA (American Psychiatric Association) (2013). DSM-5. Diagnostic and statistical manual of mental disorders (5th Ed.). Washington, DC: APA. Tr.it. (2014), DSM-5. Manuale diagnostico e statistico dei disturbi mentali. Milano: Raffaello Cortina Editore.
  4. APA Presidential Task Force on Evidence-Based Practice (2006). Evidencebased practice in psychology. American Psychologist, 61(4), 271-285.
  5. Aragona, M. (2009). About and beyond comorbidity: Does the crisis of the DSM bring on a radical rethinking of descriptive psychopathology?. Philosophy, Psychiatry and Psychology, 16, 29-33. doi:10.1353/ppp.0.0214.
  6. Astle, D. E., Holmes, J., Kievit, R., & Gathercole, S. E. (2022). The transdiagnostic revolution in neurodevelopmental disorders. Journal of Child Psychology and Psychiatry, 63(4), 397-417. DOI: 10.1111/jcpp.13481.
  7. Auerbach, R. P., Pagliaccio, D., Hubbard, N. A., Frosch, I., Kremens, R., Cosby, E., ... & Pizzagalli, D. A. (2022). Reward-related neural circuitry in depressed and anxious adolescents: a human connectome project. Journal of the American Academy of Child and Adolescent Psychiatry, 61(2), 308-320. DOI: 10.1016/j.jaac.2021.04.014.
  8. Balconi, M. (2022). Il disturbo del neurosviluppo come processo dinamico e l’approccio hyperscanning. Ricerche di Psicologia, 45(4), DOI: 10.3280/rip2022oa15372.
  9. Bathelt, J., Holmes, J. H., & Astle, D.E. (2018). Data-driven subtyping of executive function-related behavioral problems in children. Journal of the American Academy of Child and Adolescent Psychiatry, 57(4), 252-262. DOI: 10.1016/j.jaac.2018.01.014.
  10. Bathelt, J., Vignoles, A., & Astle, D. E. (2021). Just a phase? Mapping the transition of behavioural problems from childhood to adolescence. Social Psychiattry and Epidemiology, 56(5), 821-836. DOI: 10.1007/s00127-020-02014-4.
  11. Benso, F., & Chiorri, C. (2022). Proposte logico-metodologiche utili a rilevare bias e credenze sulle funzioni attentive esecutive. Criticità collegate all’osservazione clinica e ai protocolli di ricerca. Ricerche di Psicologia, 45(4), DOI: 10.3280/rip2022oa15373.
  12. Bethlehem, R. A., Seidlitz, J., White, S. R., Vogel, J. W., Anderson, K. M., Adamson, C., ... & Schaare, H. L. (2022). Brain charts for the human lifespan. Nature, 604(7906), 525-533. DOI: 10.1038/s41586-022-04554-y.
  13. Blashfield, R.K., Keeley, J.W., Flanagan, E.H., Miles, S.R. (2014). The cycle of classification: DSM-I through DSM-5. Annual Review of Clinical Psychology, 10, 25-51. DOI: 10.1146/annurev-clinpsy-032813-153639.
  14. Bzdok, D., & Ioannidis, J. P. (2019). Exploration, inference, and prediction in neuroscience and biomedicine. Trends in Neurosciences, 42(4), 251-262. DOI: 10.1016/j.tins.2019.02.001.
  15. Bzdok, D., Engemann, D., Grisel, O., Varoquaux, G., & Thirion, B. (2018). Prediction and inference diverge in biomedicine: Simulations and real-world data. BioRxiv, 327437. DOI: 10.1101/327437.
  16. Chieffo, D. P. R. (2022). Un nuovo paradigma: Impressioni sulla clinica contemporanea. Ricerche di Psicologia, 45(4), DOI: 10.3280/rip2022oa15715.
  17. Cicchetti, D. & Blender, J. A. (2004). A multiple-levels-of-analysis approach to the study of developmental processes in maltreated children. Proceedings of the National Academy of Sciences of the United States of America, 101, 17325-17326. DOI: 10.1073/pnas.0408033101.
  18. Cicchetti, D. (1993). Developmental psychopathology: Reactions, reflections, projections. Developmental Review, 13, 471-502. DOI: 10.1006/drev.1993.1021.
  19. Cicchetti, D. (2008). A multiple-levels-of-analysis perspective on research in developmental psychopathology. In T. P. Beauchaine & S. P. Hinshaw (Eds.), Child and adolescent psychopathology (pp. 27-57). Hoboken, NJ: Wiley.
  20. Clementz, B. A., Sweeney, J. A., Hamm, J. P., Ivleva, E. I., Ethridge, L. E., Pearlson, G. D., ... & Tamminga, C. A. (2016). Identification of distinct psychosis biotypes using brain-based biomarkers. American Journal of Psychiatry, 173(4), 373-384. DOI: 10.1176/appi.ajp.2015.14091200.
  21. Cochrane, A. L. (1972). Effectiveness and efficiency. Random reflections on health services. London: Nuffield Provincial Hospitals Trust.
  22. Cubelli, R., & Balboni, G. (2022). “No theory, no party”: senza teoria non c’è cambiamento. Ricerche di Psicologia, 45(4), DOI: 10.3280/rip2022oa15628.
  23. Davatzikos, C., & Satterthwaite, T.D. (2022). Commentary to “Translational machine learning for child and adolescent psychiatry”. Journal of Child Psychology and Psychiatry, 63, 444-446. DOI: 10.1111/jcpp.13593.
  24. Di Nuovo, S. (2022). Valutazione e trattamento dei disturbi del neurosviluppo: dalle diagnosi nosografiche a quelle funzionali. Ricerche di Psicologia, 45(4), DOI: 10.3280/rip2022oa15629.
  25. D’Souza, D., D’Souza, H., & Karmiloff-Smith, A. (2017). Precursors to language development in typically and atypically developing infants and toddlers: the importance of embracing complexity. Journal of Child Language, 44, 591-627. DOI: 10.1017/S030500091700006X.
  26. Durlak, J. A., Mahoney, J. L., & Boyle, A. E. (2022). What we know, and what we need to find out about universal, school-based social and emotional learning programs for children and adolescents: A review of meta-analyses and directions for future research. Psychological Bulletin, 148(11-12),765-782. DOI: 10.1037/bul0000383.
  27. Dwyer, D., & Koutsouleris, N. (2022). Translational machine learning for child and adolescent psychiatry. Journal of Chil d Psychology and Psychiatry, 63, 421-443. DOI:10.1111/jcpp.13545.
  28. Ferrante, J., & Rackoff, C. W. (2006). The computational complexity of logical theories (Vol. 718). Berlin, Heidelberg, and New York: Springer-Verlag.
  29. FLI (Federazione Logopedisti Italiani) & Associazione CLASTA (Communication & Language Acquisition Studies in Typical and Atypical Populations). 2019. Consensus Conference sul Disturbo Primario del Linguaggio. https://www.disturboprimariolinguaggio.it/wpcontent/uploads/2019/11/Documento-Finale-Consensus-Conference-2.pdf.
  30. Fond, G., Llorca, P. M., Boucekine, M., Zendjidjian, X., Brunel, L., Lancon, C., ... & Boyer, L. (2016). Disparities in suicide mortality trends between United States of America and 25 European countries: retrospective analysis of WHO mortality database. Scientific Reports, 6(1), 1-9. DOI: 10.1038/srep20256.
  31. Frances, A. (2014). Resuscitating the biopsychosocial model. Lancet Psychiatry, 1, 496-497. DOI: 10.1016/S2215-0366(14)00058-3.
  32. Goldberg, T. E., & Weinberger, D. R. (2004). Genes and the parsing of cognitive processes. Trends in Cognitive Sciences, 8(7), 325-335. DOI: 10.1016/j.tics.2004.05.011.
  33. Gottesman, I. I., & Gould, T. D. (2003). The endophenotype concept in psychiatry: etymology and strategic intentions. American Journal of Psychiatry, 160(4),636-645. DOI: 10.1176/appi.ajp.160.4.636.
  34. Green J (2022). Autism as emergent and transactional. Frontiers in Psychiatry, 13, 988755. DOI: 10.3389/fpsyt.2022.988755.
  35. Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639-665. DOI: 10.1016/S0005-7894(04)80013-3.
  36. Hayes, S. C., & Hofmann, S. G. (2022). Oltre il DSM: un’alternativa processbased alla diagnosi e al trattamento dei disturbi psicologici. Milano: FrancoAngeli Editore.
  37. Hayes, S. C., Hofmann, S. G., & Ciarrochi, J. (2020). A process-based approach to psychological diagnosis and treatment: The conceptual and treatment utility of an extended evolutionary meta model. Clinical Psychology Review, 82, 101908. DOI: 10.1016/j.cpr.2020.101908.
  38. Hayes, S. C., Hofmann, S. G., Stanton, C. E., Carpenter, J. K., Sanford, B. T., Curtiss, J. E., & Ciarrochi, J. (2019). The role of the individual in the coming era of process-based therapy. Behaviour Research and Therapy, 117, 40-53. DOI. 10.1016/j.brat.2018.10.005.
  39. Hofmann, S. G., & Hayes, S. C. (2019). The future of intervention science: Process-based therapy. Clinical Psychological Science, 7(1), 37-50. DOI: 10.1177/2167702618772296.
  40. Iacono WG (2016). Achieving success with the Research Domain Criteria (RDoC): Going beyond the matrix. Psychophysiology, 53, 308-311. DOI: 10.1111/psyp.12584.
  41. Insel, T. R. (2009). Translating scientific opportunity into public health impact: a strategic plan for research on mental illness. Archives of General Psychiatry, 66(2), 128-133. DOI: 10.1001/archgenpsychiatry.2008.540.
  42. Insel, T.R., Cuthbert, B.N., Garvey, M.A., Heinssen, R.K., Pine, D.S., Quinn, K.J., Sanislow, C., and Wang, P.S. (2010). Research Domain Criteria: Toward a new classification framework for research on mental disorders. American Journal of Psychiatry, 167, 748-751. DOI: 10.1176/appi.ajp.2010.09091379.
  43. Insel, T. R., & Cuthbert, B. N. (2015). Brain disorders? Precisely. Science, 348(6234), 499-500. DOI: 10.1126/science.aab2358.
  44. Istat (2018). Report “La salute mentale nelle varie fasi della vita” https://www.istat.it/it/files/2018/07/Report_Salute_mentale.pdf.
  45. Johnson, M. H., & De Haan, M. (2015). Developmental cognitive neuroscience: An introduction (Fourth Edition). New York: Wiley-Blackwell.
  46. Karmiloff-Smith, A. (1998). Development itself is the key to understanding developmental disorders. Trends in Cognitive Sciences, 2(10), 389-398. DOI: 10.1016/s1364-6613(98)01230-3.
  47. Kernbach, J. M., Satterthwaite, T. D., Bassett, D. S., Smailwood, J., Margulies, D., Krall, S., Shaw, P., Varoquaux, G., Thirion, B., Konrad, K., & Bzdok, D. (2018) Shared endo-phenotypes of default mode dysfunction in attention deficit/hyperactivity disorder and autism spectrum disorder. Translational Psychiatry, 8, 133. DOI: 10.1038/s41398-018-0179-6.
  48. Kozak, M. J., & Cuthbert, B. N. (2016). The NIMH research domain criteria initiative: Background, issues, and pragmatics. Psychophysiology, 53(3), 286-297. DOI: 10.1111/psyp.12518.
  49. Kuhn, T. S. (1962). The structure of scientific revolutions. Chicago (IL): University of Chicago Press.
  50. Lake, J. I., Yee, C. M., & Miller, G. A. (2017). Misunderstanding RDoC. Zeitschrift für Psychologie, 225(3). DOI: 10.1027/2151-2604/a000301.
  51. Lang, M., & Michelotti, C. (2022). L’evoluzione dei modelli di psicopatologia: quali implicazioni nella clinica? Ricerche di Psicologia, 45(4), DOI: 10.3280/rip2022oa15604.
  52. Lilienfeld, S. O. (2014). The Research Domain Criteria (RDoC): An analysis of methodological and conceptual challenges. Behaviour Research and Therapy, 62, 129-139. DOI: 10.1016/j.brat.2014.07.019.
  53. Lilienfeld, SO., & Treadway, MT. (2016). Clashing diagnostic approaches: DSM-ICD versus RDoC. Annual Review of Clinical Psychology, 12, 435-463. DOI: 10.1146/annurev-clinpsy-021815-093122.
  54. Logan, G. D. (1988). Toward an instance theory of automatization. Psychological Review, 95, 492-527. DOI: 10.1037/0033-295X.95.4.492.
  55. Logan, G. D. (1992). Shapes of reaction-time distributions and shapes of learning curves: A test of the instance theory of automaticity. Journal of Experimental Psychology: Learning, Memory, and Cognition, 18(5), 883-914. DOI: 10.1037/0278-7393.18.5.883.
  56. Marinelli, C. V., Angelelli, P., & Martelli, M. (2022). È tempo di cambiare: riflessioni sui paradigmi utili nello studio dei disturbi dell’apprendimento nella prospettiva RDoC. Ricerche di Psicologia, 45(4), DOI: 10.3280/rip2022oa15716.
  57. McEwen, B. S. (2012). Brain on stress: How the social environment gets under the skin. Proceedings of the National Academy of Sciences, 109 (Supplement 2), 17180-17185. DOI: 10.1073/pnas.1121254109.
  58. Miller, G. A., Rockstroh, B. S., Hamilton, H. K., & Yee, C. M. (2016). Psychophysiology as a core strategy in RDoC. Psychophysiology, 53 , 410-414. DOI: 10.1111/psyp.12581.
  59. Morton, J., & Frith, U. (1995). Causal modelling: A structural approach to developmental psychopathology. In D. Cicchetti & D. Cohen (Eds.), Developmental psychopathology (357-390). New York: Wiley.
  60. Muratori, F., & Calderoni, S. (2022). Disturbi del neurosviluppo e autismo: possibile integrazione tra approccio dimensionale e categoriale Ricerche di Psicologia, 45(4), DOI: 10.3280/rip2022oa15717.
  61. Nordgaard J, Parnas J. (2013). A haunting that never stops: psychiatry’sproblem of description. Acta Psychiatrica Scandinavica, 127, 434-435. DOI: 10.1111/acps.12092.
  62. Orsolini, M., & Federico, F., Capobianco, M., & Melogno, S. (2022). Le implicazioni di una prospettiva transdiagnostica per impostare e orientare gli interventi. Ricerche di Psicologia, 45(4), DOI: 10.3280/rip2022oa15371.
  63. Panisi, C., Guerini, F. R., Abruzzo, P. M., Balzola, F., Biava, P. M., Bolotta, A., ... & Fanos, V. (2021). Autism spectrum disorder from the womb to adulthood: Suggestions for a paradigm shift. Journal of Personalized Medicine, 11(2), 70. DOI: 10.3390/jpm11020070.
  64. Pennington, B. F., & Bishop, D. V. (2009). Relations among speech, language, and reading disorders. Annual Review of Psychology, 60, 283-306. DOI: 10.1146/annurev.psych.60.110707.163548.
  65. Pennington, B. F. (2006). From single to multiple deficit models of developmental disorders. Cognition, 101, 385-413. DOI: 10.1016/j.cognition.2006.04.008.
  66. Prince, M., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M. R., & Rahman, A. (2007). No health without mental health. Lancet, 370(9590), 859-877. DOI: 10.1016/S0140-6736(07)61238-0.
  67. Re, A. M., Cornoldi, C., & Toffalini, E. (2022). Il progressivo ridimensionamento dell’uso di categorie diagnostiche nei disturbi del neurosviluppo: alcune riflessioni a partire dall’intervento di Antonietti, Borgatti e Giorgetti. Ricerche di Psicologia, 45(4), DOI: 10.3280/rip2022oa15606.
  68. Rescher, N. (1996). Process metaphysics: An introduction to process philosophy. Albany (NY): State University of New York Press.
  69. Sanislow C. A., Pine, D. S., Quinn, K. J., Kozak, M. J., Garvey, M. A., Heinssen, R. K., Wang, P. S., & Cuthbert, B. N. (2010). Developing constructs for psychopathology research: Research Domain Criteria. Journal of Abnormal Psychology, 119, 631-639. DOI: 10.1037/a0020909.
  70. Sanislow, C. A., Ferrante, M., Pacheco, J., Rudorfer, M. V., & Morris, S. E. (2019). Advancing translational research using NIMH research domain criteria and computational methods. Neuron, 101(5), 779-782. DOI: 10.1016/j.neuron.2019.02.02.
  71. Shorter, E. (2022). The history of nosology and the rise of the Diagnostic and Statistical Manual of Mental Disorders. Dialogues in Clinical Neuroscience, 17(1), 59-67. DOI: 10.31887/DCNS.2015.17.1/eshorter.
  72. SNLG - Sistema Nazionale Linee Guida dell’Istituto Superiore di Sanità (2022). Linea guida sulla gestione dei Disturbi Specifici dell’Apprendimento. https://snlg.iss.it/wp-content/uploads/2022/03/LG-389-AIP_DSA.pdf.
  73. Siugzdaite, R., Bathelt, J., Holmes, J., & Astle, D. E. (2020). Transdiagnostic brain mapping in developmental disorders. Current Biology, 30(7): 1245-1257.34. DOI: 10.1016/j.cub.2020.01.078.
  74. Sroufe, L. A. & Rutter, M. (1984) The domain of developmental psychopathology. Child Development, 55(1), 17-29. DOI: 10.1111/j.1467-8624.1984.tb00271.x.
  75. Sydnor, V. J., Larsen, B., Bassett, D. S., Alexander-Bloch, A., Fair, D. A., Liston, C., ... & Satterthwaite, T. D. (2021). Neurodevelopment of the association cortices: Patterns, mechanisms, and implications for psychopathology. Neuron, 109(18), 2820-2846. DOI: 10.1016/j.neuron.2021.06.016.
  76. Thomas, M. & Karmiloff-Smith, A., (2002). Are developmental disorders like cases of adult brain damage? Implications from connectionist modelling. Behavioral and Brain Sciences, 25, 727-788. DOI: 10.1017/S0140525X02000134.
  77. Traficante, D. (2022). Dalle categorie alle dimensioni: riflessioni a margine, in attesa di un nuovo paradigma. Ricerche di Psicologia, 45(4), DOI: 10.3280/rip2022oa15608.
  78. Vio, C., & Olla, V. (2022). I disturbi del neurosviluppo: i limiti della diagnosi categoriale e la ricerca dei costrutti di base del funzionamento. Ricerche di Psicologia, 45(4), DOI: 10.3280/rip2022oa15609.
  79. Weinberger, D. R., Glick, I. D., & Klein, D. F. (2015). Whither Research Domain Criteria (RDoC)? The good, the bad, and the ugly. JAMA Psychiatry, 72, 1161-1162. DOI: 10.1001/jamapsychiatry.2015.1743.
  80. Yee, C. M, Javitt, D. C., & Miller, G. A. (2015). Replacing DSM categorical analyses with dimensional analyses in psychiatry research: The Research Domain Criteria initiative. JAMA Psychiatry, 72, 1159-1160. DOI: 10.1001/jamapsychiatry.2015.1900.
  81. Zanetti, A., & Sparaciari, S. (2022). Plusdotazione e prospettive transdiagnostiche: l’esperienza clinica del Labtalento. Ricerche di Psicologia, 45(4), DOI: 10.3280/rip2022oa15627.

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