Brunner J
Tel Aviv University, Israel.
J Hist Behav Sci. 1991 Oct;27(4):352-65. doi: 10.1002/1520-6696(199110)27:4<352::aid-jhbs2300270404>3.0.co;2-9.
This article compares the therapeutic power used by psychiatrists and psychoanalysts serving in the German and Austro-Hungarian armies during World War I, and the ways in which their therapeutic techniques were related to governmental and military authority. When treating "shell shocked" soldiers, army psychiatrists were guided by nationalist commitment rather than concern for their patients. Whatever theoretical approach they took, they defined their therapeutic task as administrative intervention aimed to increase the docility of soldiers to the state and its military purposes. But violent means of coercion, designed to force neurotic soldiers back into duty, remained inefficient. Drawing from an alternative body of knowledge, army physicians influenced by Freud's writings, or trained in psychoanalysis, applied cathartic methods to treat the Central Powers' soldiers. Their approach was not only more humane, but also proved to be therapeutically more efficient.
本文比较了第一次世界大战期间在德国和奥匈帝国军队中服役的精神科医生和精神分析学家所使用的治疗手段,以及他们的治疗技术与政府和军事权威的关联方式。在治疗“炮弹休克症”士兵时,军队精神科医生受民族主义信念的指引,而非对患者的关心。无论他们采用何种理论方法,都将治疗任务定义为行政干预,旨在提高士兵对国家及其军事目的的顺从性。但旨在迫使神经质士兵重返岗位的暴力强制手段效率低下。受弗洛伊德著作影响或接受过精神分析培训的军队医生,借鉴另一套知识体系,采用宣泄法治疗同盟国士兵。他们的方法不仅更人道,而且在治疗上也更有效。