Gross G, Huber G
Universitäts-Nervenklinik Bonn.
Fortschr Neurol Psychiatr. 2004 Oct;72 Suppl 1:S7-13. doi: 10.1055/s-2004-830022.
In the 50 years of his scientific activity Werner Janzarik has also dealt with idiopathic psychosyndromes, the affective and schizophrenic psychoses. Our paper shows that the scientific work of Janzarik has essentially participated in the foundation of a scientific psychopathology of idiopathic psychosyndromes. In this connection Janzarik has used the whole spectrum of methods relevant for psychiatry in a very fruitful manner. It becomes evident that the step by step developed structural-dynamic concept of an anthropologically psychopathology represents today a substantial basis of a scientific psychiatry that presupposes understanding and knowledge of a comprehensive psychiatric experience related to patients. The transfer of his structural-dynamic approach to the idiopathic psychosyndromes turns out to be a new way of synopsis and integrated interpretation of the psychopathological and biological data relevant for psychiatry. His conclusive psychopathological concept certainly has, independently of its importance for psychiatric practice, a value on its own but must not dispense with psychiatric practice. The structural-dynamic design of Janzarik enables as scarcely an other concept manifold concretisations and transformations into empirically verifiable working hypotheses, also in the utilisation for the clinical psychiatry of idiopathic psychosyndromes and in reflecting their diagnostic and therapeutic aspects. The newly again recognisable tendency to a dividing up of our discipline into a somatic and a psychic position, into too much reductionistic and objectifying procedures of a biological psychiatry and one-sided psychonomic, anthropological, psychoanalytic and system-theoretical interpretations, proves the necessity and fruitfulness of the approach of Janzarik and its untimely character in a positive sense of great promise for the future, demonstrated just also in idiopathic psychosyndromes. The structural-dynamic way of consideration of idiopathic psychosyndromes, on the first sight, faced with the scientistic orientation of the contemporary psychiatry, appearing not useful, has meanwhile long ago on a large scale arrived at the research and practice of clinical psychiatry of affective and schizophrenic psychosyndromes.
在其50年的科学活动中,维尔纳·扬扎里克还研究了特发性精神综合征、情感性精神病和精神分裂症。我们的论文表明,扬扎里克的科学工作从根本上参与了特发性精神综合征科学精神病理学的奠基。在这方面,扬扎里克非常富有成效地运用了与精神病学相关的各种方法。显而易见,逐步发展起来的人类学精神病理学的结构 - 动力学概念如今代表了科学精神病学的坚实基础,而这一基础是以对与患者相关的全面精神病学经验的理解和认识为前提的。将他的结构 - 动力学方法应用于特发性精神综合征,结果证明是对与精神病学相关的精神病理学和生物学数据进行综合概述和综合解释的一种新方式。他最终形成的精神病理学概念,当然,独立于其对精神病学实践的重要性,自身具有价值,但绝不能脱离精神病学实践。扬扎里克的结构 - 动力学设计几乎比其他任何概念都更能实现多种具体化,并转化为可通过经验验证的工作假设,在用于特发性精神综合征的临床精神病学以及反映其诊断和治疗方面时也是如此。我们的学科再次出现了一种新的可识别趋势,即将其划分为躯体和心理两个阵营,出现了生物精神病学过多的还原论和客观化程序,以及片面的心理经济学、人类学、精神分析和系统理论解释,这证明了扬扎里克方法的必要性和成效,以及它在积极意义上对未来充满巨大希望的不合时宜性,这一点在特发性精神综合征中也得到了体现。初看之下,考虑特发性精神综合征的结构 - 动力学方式,面对当代精神病学的科学主义倾向,似乎并无用处,但与此同时,它早已大规模地进入了情感性和精神分裂症性精神综合征的临床精神病学研究与实践。