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[在诊疗室与疯人院之间:对世纪末西班牙精神病学的思考]

[Between the consulting room and the asylum, reflections on end of the century Spanish psychiatry].

作者信息

Peset J L

机构信息

Departamento de Historia de la Ciencia, CSIC.

出版信息

Cuad Complut Hist Med Cienc. 1993;1:281-99.

Abstract

Psychiatry and nerurology began to converge as the 19th century advanced and the concept or mental illness was increasingly seen as the result of lesions appearing in the nervous system. The reasons for this convergence are to be found in very different areas, in the development of neurology, both in morphological and physiological findings and in the respective pathologies, and in the changes in psychiatric observation. These changes meant a longer and more careful analysis of the illness, together with the appearance of new syndromes and better understanding of those already know. The belated construction of large asylums, with care and maintenance problems, also facilitated these changes. The close links between psychiatry and legal medicine in countries such as France and Spain also made for mental illness coming closer to the autopsy room.

摘要

随着19世纪的推进,精神病学和神经病学开始融合,精神疾病的概念越来越被视为神经系统出现病变的结果。这种融合的原因可以在非常不同的领域找到,在神经病学的发展中,包括形态学和生理学发现以及各自的病理学,以及精神病学观察的变化。这些变化意味着对疾病进行更长时间、更仔细的分析,同时出现了新的综合征,并对已知的综合征有了更好的理解。大型精神病院建设滞后,存在护理和维护问题,这也促进了这些变化。法国和西班牙等国精神病学与法医学之间的密切联系也使得精神疾病更接近解剖室。

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