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让-马丁·夏科与癫痫/癔症的关系。

Jean-Martin Charcot and the epilepsy/hysteria relationship.

作者信息

Faber D P

机构信息

Department of Psychology, University of Liverpool, UK.

出版信息

J Hist Neurosci. 1997 Dec;6(3):275-90. doi: 10.1080/09647049709525714.

Abstract

Research from many perspectives has been made on the work of the French neurologist, J.-M. Charcot (1825-1893) with particular reference to his fame for his studies and "construction" of hysteria. What has not been demonstrated so far is the extent to which Charcot's construction can be explained by the perceived relationship between hysteria and epilepsy and Charcot's access to epileptic patients at La Salpêtrière. From the confusion that reigned concerning hysteria and epilepsy, both separately and in relation to each other, Charcot claimed to have isolated hysteria as a distinctive and universal pathology. This claim was partly based on the "grande attaque", representing the most intense degree of hysteria. A comparison with Gowers, the contemporary English neurologist suggests that diagnosis was the function of the practitioners' preferences; and a linguistic analysis pinpoints Charcot's problems in describing an isolated pathology in terms of its relation to its neighbour, epilepsy.

摘要

从多个角度对法国神经学家让-马丁·夏科(1825 - 1893)的工作进行了研究,尤其提及了他因对癔症的研究和“构建”而声名远扬。到目前为止,尚未得到证实的是,夏科的“构建”在多大程度上可以通过癔症与癫痫之间的感知关系以及夏科在萨尔佩特里埃医院接触癫痫患者来解释。在癔症和癫痫各自以及相互关系方面存在的混乱中,夏科声称已将癔症分离出来,作为一种独特且普遍的病理学现象。这一主张部分基于“大发作”,它代表了癔症最强烈的程度。与同时代的英国神经学家高尔斯进行比较表明,诊断是从业者偏好的作用;而语言分析指出了夏科在根据癔症与相邻病症癫痫的关系来描述一种孤立的病理学现象时所存在的问题。

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