How important is the timing of the pretreatment evaluation? If we consider mental health to be a relatively fixed condition, the specific timing (e.g., day, hour) of the evaluation is immaterial and often determined on the basis of technical considerations. Indeed, the fundamental assumption underlying the vast majority of psychotherapy research and practice is that mental health is a state that can be captured in a one-dimensional snapshot. If this fundamental assumption, underlying 80 years of empirical research and practice, is incorrect, it may help explain why for decades psychotherapy failed to rise above the 50% efficacy rate in the treatment of mental-health disorders, especially depression, a heterogeneous disorder and the leading cause of disability worldwide. Based on recent studies suggesting within-individual dynamics, this article proposes that mental health and its underlying therapeutic mechanisms have underlying intrinsic dynamics that manifest across dimensions. Computational psychotherapy is needed to develop individual-specific pretreatment animated profiles of mental health. Such individual-specific animated profiles are expected to improve the ability to select the optimal treatment for each patient, devise adequate treatment plans, and adjust them on the basis of ongoing evaluations of mental-health dynamics, creating a new understanding of therapeutic change as a transition toward a more adaptive animated profile.

中文翻译：

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个人特定的心理健康动画概况


治疗前评估的时机有多重要？如果我们认为心理健康是一个相对固定的状况，那么评估的具体时间（例如，日期、时间）并不重要，并且通常是根据技术考虑来确定的。事实上，绝大多数心理治疗研究和实践的基本假设是心理健康是一种可以在一维快照中捕捉到的状态。如果这个支撑了 80 年实证研究和实践的基本假设是错误的，那么它可能有助于解释为什么几十年来心理治疗在治疗心理健康疾病方面未能突破 50% 的有效率，尤其是抑郁症这种异质性疾病和全世界残疾的主要原因。基于最近表明个体内部动态的研究，本文提出心理健康及其潜在的治疗机制具有跨维度表现的潜在内在动态。需要计算心理治疗来开发个体特定的治疗前心理健康动画档案。这种针对个人的动画概况预计将提高为每位患者选择最佳治疗、制定适当的治疗计划并根据心理健康动态的持续评估进行调整的能力，从而对治疗变化作为一种​​新的治疗方法产生新的理解。向更具适应性的动画配置文件过渡。