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《冒犯与疾病——一位精神科医生眼中的互动病理学(作者译)》

[Taking offense and illness - the pathology of interaction as seen by a psychiatrist (author's transl)].

作者信息

Schimmelpenning G W

出版信息

Psychother Med Psychol (Stuttg). 1975 May;25(3):64-71.

PMID:1223927
Abstract

Theories of interaction matter not only for psychoreactive disturbances, pathologic forms and sequelae of interaction may influence or even determine origin and course of psychoses. Present treatment or schizophrenic problems contains the danger that psychogenetic theories are sharply confronted with biologic concepts. As fas as we know today both are equally ligitimate. Purely psychogenetic theories like that of Bateson do not always avoid the temptation to ask and answer questions of guilt. This is therapeutically nearly always useless and may lead to arrogance. Psychotherapy of endogenous psychoses - up to now mostly only a demand - cannot be realized by adopting a model theory. It is more a question of the attitude of the physician.

摘要

互动理论不仅对心理反应性障碍很重要,互动的病理形式和后遗症可能影响甚至决定精神病的起源和病程。目前对精神分裂症问题的治疗存在这样一种危险,即心理发生理论会与生物学概念形成尖锐对立。就我们目前所知,两者同样合理。像贝特森的那种纯粹心理发生理论并不总是能避免询问和回答罪责问题的诱惑。从治疗角度看,这几乎总是无用的,而且可能导致傲慢。内源性精神病的心理治疗——到目前为止大多还只是一种要求——无法通过采用某种模型理论来实现。这更多是医生态度的问题。

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