ASD儿童具有高度异质性,各种症状的明确定义及机理尚未得到完全解析,以至于主次矛盾不突出、研究方向不明晰。文章以19世纪60年代罗马尼亚孤儿院案例开始,分析刺激不足对突触修剪的影响,并进一步把刺激分类为外源性和内源性两种,最终得...ASD儿童具有高度异质性,各种症状的明确定义及机理尚未得到完全解析,以至于主次矛盾不突出、研究方向不明晰。文章以19世纪60年代罗马尼亚孤儿院案例开始,分析刺激不足对突触修剪的影响,并进一步把刺激分类为外源性和内源性两种,最终得到皮层下中枢“熵增”的三大原因:发育不良、功能紊乱和器质性病变,解析了ASD核心症状之一重复刻板行为异质性的原因。Children with ASD are highly heterogeneous, and the clear definition and mechanism of various symptoms have not been fully resolved, so that the primary and secondary contradictions are not prominent, and the research direction is also not clear. This paper starts with the case of the Romania orphanage in the 1960s, analyzes the effect of insufficient stimulation on synaptic pruning, further classifies the stimulation into exogenous and endogenous two, and finally obtains the three major causes of “entropy increase” in the subcortical center: dysplasia, dysfunction and organic lesions, and analyzes the reasons for the heterogeneity of the repetitive stereotyped behavior.展开更多
文摘ASD儿童具有高度异质性,各种症状的明确定义及机理尚未得到完全解析,以至于主次矛盾不突出、研究方向不明晰。文章以19世纪60年代罗马尼亚孤儿院案例开始,分析刺激不足对突触修剪的影响,并进一步把刺激分类为外源性和内源性两种,最终得到皮层下中枢“熵增”的三大原因:发育不良、功能紊乱和器质性病变,解析了ASD核心症状之一重复刻板行为异质性的原因。Children with ASD are highly heterogeneous, and the clear definition and mechanism of various symptoms have not been fully resolved, so that the primary and secondary contradictions are not prominent, and the research direction is also not clear. This paper starts with the case of the Romania orphanage in the 1960s, analyzes the effect of insufficient stimulation on synaptic pruning, further classifies the stimulation into exogenous and endogenous two, and finally obtains the three major causes of “entropy increase” in the subcortical center: dysplasia, dysfunction and organic lesions, and analyzes the reasons for the heterogeneity of the repetitive stereotyped behavior.
