Tone Andrea
Department of Social Studies of Medicine and History, McGill University, Montreal, Quebec.
Can J Psychiatry. 2005 Jun;50(7):373-80. doi: 10.1177/070674370505000702.
This article explores the history of psychiatry and the rise of biological psychiatry and suggests ways in which the study of history can shed light on current psychiatric practice and debate. Focusing on anxiolytics (meprobomate in the 1950s and benzodiazepines in the 1960s, 1970s, and 1980s) as a case study in the development of psychopharmacology, it shows how social and political factors converged to popularize and later stigmatize outpatient treatments for anxiety. The importance of social context in the creation of new therapeutic paradigms in modern psychiatry suggests the need to take into account a broad range of historical variables to understand how modern psychopharmacology has emerged and how particular treatments for disorders have been developed, diffused, and assessed.
本文探讨了精神病学的历史以及生物精神病学的兴起,并提出历史研究能够为当前的精神病学实践及争论提供启示的方式。以抗焦虑药(20世纪50年代的眠尔通以及20世纪60年代、70年代和80年代的苯二氮䓬类药物)作为精神药理学发展的一个案例研究,它展示了社会和政治因素是如何相互交织,先是使焦虑症的门诊治疗得以普及,后来又使其蒙上污名。社会背景在现代精神病学新治疗范式创建中的重要性表明,需要考虑广泛的历史变量,以理解现代精神药理学是如何出现的,以及针对各种疾病的特定治疗方法是如何得以研发、传播和评估的。