(Circles of engagement)疼痛人际交往.ppt

Circles of engagement: Childhood pain and parent brain --by lingying 2016/10/29 Contents About the article ⅰ The journal ⅱ The first author What’s its logic or frame? Details to share and discuss New or key words to learn ⑴ Empathy, mirror neurons, vicarious pain… ⑵ shared circuit, ACC,AI,TP,TL… ⑶ feed-forward-failure, VEN’s… Treatment About the article The model Empathy The maladaptive feedback loop Others… Treatment Behavioral/emotional expression neural bases/brain systems Psychological factors What’s its logic or frame? Details to share and discuss ② ③ eg, parent-child attachment, family climate ① the child’s pain-related (non)verbal expressions (“bottom-up”; e.g.,facial expression of pain) the parent’s own characteristics and learning history (“top-down”; e.g., previous distressing experiences, parents’ history of pain) The cognitive component of parental empathy refers to processes such as attention to and interpretation of the child’s expression of pain. The emotional component refers to parents’ self-oriented (distress, physiological resonance) versus other-oriented emotions (sympathy) and the regulation of those emotions. The behavioral component refers to processes of decision making with regard to the child’s pain (treatment), and may range from defensivereacting (e.g., avoidance, protective parenting behaviors, miscarried helping) to adequate responding, where the parent is able to keep a self-other distinction and balances the child’s (short-term) needs (e.g., rest) with longer-term goals for adaptive child development (e.g., persisting in valued activities in the presence of pain) Empathy Pain Neural bases High emotional contagion Brain systems recruited in parent pain empathy Empathy Empathy in the context of pain is broadly defined as “a sense of knowing the experience of another person with cognitive, affective and behavioural components” (Goubert et al., 2005, 2013) a phenomenon shared by both animals a