Cohen A
Department of Social Medicine, Harvard Medical School, Boston, USA.
Cult Med Psychiatry. 2001 Sep;25(3):277-96. doi: 10.1023/a:1011825327636.
In the past two decades, the field of psychiatry has seen the once dominant psychoanalytic theories overtaken by biological explanations and approaches to severe mental illness. With this change in perspective, the significance of fantasies and delusions have been reduced to being merely symptoms of psychopathology rather than reflections of human needs and motivations. Using ethnographic evidence from a long-term research project. this paper explores one method by which mentally ill homeless individuals in the Skid Row district of Los Angeles attempted to wrest meaningful lives for themselves out of an environment that featured disaffiliation, violence, boredom, and extreme poverty.
在过去二十年里,精神病学领域中,曾经占主导地位的精神分析理论已被针对严重精神疾病的生物学解释和方法所取代。随着这种观点的转变,幻想和妄想的重要性已被贬低为仅仅是精神病理学的症状,而不再是人类需求和动机的反映。本文利用一个长期研究项目的人种志证据,探讨了一种方法,洛杉矶贫民窟地区的精神病无家可归者试图通过这种方法,从一个以脱离关系、暴力、无聊和极端贫困为特征的环境中为自己争取有意义的生活。