Simon Laurence
Kinsborough Community College, City University of New York, NY, USA.
Ethical Hum Psychol Psychiatry. 2005 Spring;7(1):57-64.
The field of psychotherapy has failed to live up to its promise to be a force in the continued development of democracy by aligning itself with medicine and psychiatry. Psychotherapists must recognize that those with whom they work and disseminate information to are inevitably citizens and that they are redefining citizens as mental patients. By utilizing psychiatric diagnoses, which are in effect, moral labels, psychotherapy unwittingly helps create authoritarian political structures by convincing their patients and the public that they are essentially inferior and can do nothing to change that condition. A series of recommendations are made that suggest ways for psychotherapy to free itself from institutional psychiatry and medicine and build its own "house."
心理治疗领域未能实现其承诺,即通过与医学和精神病学相结合,成为民主持续发展的一股力量。心理治疗师必须认识到,他们与之合作并传播信息的对象不可避免地是公民,而且他们正在将公民重新定义为精神病人。通过使用实际上是道德标签的精神科诊断,心理治疗不知不觉地通过让患者和公众相信他们本质上低人一等且无法改变这种状况,从而帮助创建威权政治结构。本文提出了一系列建议,为心理治疗摆脱机构精神病学和医学并建立自己的“家园”指明了方向。