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作者信息

Zürrer-Simmen S

出版信息

Zur Medizingesch Abh. 1994;257:1-109.

Abstract

This thesis describes the beginnings of the first clinic for children's psychiatry in Zurich which was at the same time the first one in Switzerland. A historical part shows how (mostly) doctors influenced by the ideas of the Enlightenment started developing specialized theories about mentally handicapped children. At the beginning of the 19th century these theories led to the new professions known as therapeutic pedagogy (Heilpädagogik), child and developmental psychology, pediatry as well as to the psychiatry that demanded the treatment of children to be different from the one of adults. Due to socially motivated thinking, the development of the welfare system was highly influenced by the industrialization. Changing the national law (Schweizer Zivilgesetzbuch) in 1907 was one consequence, more public welfare another. This very complex evolution led to a widely held discussion about the need of specialized institutions to observe and treat children psychiatrically. People engaged in the field of psychiatry as well as welfare supported these ideas. In 1921 such an institution was founded as an outstation of the psychiatric clinic of the university of Zurich ("Burghölzli"), the "Kinderhaus Stephansburg", a house for 25 children up to the age of 14. A teacher was emploied being responsible for the special education during the children's hospitalization.

摘要

本论文描述了苏黎世第一家儿童精神病诊所的开端,它同时也是瑞士的第一家此类诊所。历史部分展示了(大多)受启蒙运动思想影响的医生们如何开始形成关于智障儿童的专门理论。在19世纪初,这些理论催生了被称为治疗教育学(Heilpädagogik)、儿童与发展心理学、儿科学以及要求儿童治疗有别于成人治疗的精神病学等新专业。由于社会动机引发的思考,福利体系的发展受到工业化的极大影响。1907年修改国家法律(《瑞士民法典》)是一个结果,更多的公共福利是另一个结果。这种非常复杂的演变引发了关于是否需要专门机构对儿童进行精神病学观察和治疗的广泛讨论。从事精神病学以及福利领域的人们支持这些观点。1921年,这样一个机构作为苏黎世大学精神病诊所(“布尔格霍茨利”)的分支机构成立,即“施泰芬斯堡儿童之家”,一所可容纳25名14岁以下儿童的住所。一名教师受雇负责儿童住院期间的特殊教育。

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