Rissmiller David J, Rissmiller Joshua H
Department of Psychiatry, School of Osteopathic Medicine, University of Medicine and Dentistry of New Jersey, Cherry Hill, New Jersey 08002, USA.
Psychiatr Serv. 2006 Jun;57(6):863-6. doi: 10.1176/ps.2006.57.6.863.
This essay reviews the history and evolution of the antipsychiatry movement. Radical antipsychiatry over several decades has changed from an antiestablishment campus-based movement to a patient-based consumerist movement. The antecedents of the movement are traced to a crisis in self-conception between biological and psychoanalytic psychiatry occurring during a decade characterized by other radical movements. It was promoted through the efforts of its four seminal thinkers: Michel Foucault in France, R. D. Laing in Great Britain, Thomas Szasz in the United States, and Franco Basaglia in Italy. They championed the concept that personal reality and freedom were independent of any definition of normalcy that organized psychiatry tried to impose. The original antipsychiatry movement made major contributions but also had significant weaknesses that ultimately undermined it. Today, antipsychiatry adherents have a broader base and no longer focus on dismantling organized psychiatry but look to promote radical consumerist reform.
本文回顾了反精神病学运动的历史与演变。几十年来,激进的反精神病学运动已从一场以校园为基础的反建制运动转变为一场以患者为基础的消费主义运动。该运动的前身可追溯到一个以其他激进运动为特征的十年间,生物精神病学与精神分析精神病学在自我概念上的一场危机。它是通过四位开创性思想家的努力得以推进的:法国的米歇尔·福柯、英国的R.D. 莱恩、美国的托马斯·萨斯以及意大利的弗朗哥·巴萨利亚。他们倡导这样一种观念,即个人现实与自由独立于组织化精神病学试图强加的任何常态定义。最初的反精神病学运动做出了重大贡献,但也存在严重缺陷,最终导致其式微。如今,反精神病学的支持者有了更广泛的基础,不再专注于拆解组织化的精神病学,而是寻求推动激进的消费主义改革。