Schwoch Rebecca, Schmiedebach Heinz-Peter
Universitätsklinikum Hamburg-Eppendorf, Institut für Geschichte und Ethik der Medizin.
Medizinhist J. 2007;42(1):30-60.
The querulent and the paranoid litigant as specific types of modern insanity partly owe their psychiatric genesis to an ambivalent legal-political development in 19th-century Germany. One the one hand the legal system had been opened up to the recognition of civil rights, on the other hand the extensive use of these new rights raised many problems. Open court proceedings and the daily press provided opportunities of information for the general public. The critical anti-psychiatry movement, which developed from the 1880s, used these opportunities rigorously with regard to psychiatric statements made in court. The public played a major role in the conflict with the psychiatrists, including the dispute about "querulousness" and its definition. This paper discusses how psychiatrists and medical laypersons confronted each other in their struggle over expert knowledge versus "common sense" regarding "pathological querulents".
好争论的人和偏执的诉讼当事人作为现代精神错乱的特定类型，其精神病理学根源部分归因于19世纪德国矛盾的法律政治发展。一方面，法律体系开始承认公民权利，另一方面，这些新权利的广泛使用引发了许多问题。公开的法庭程序和日报为公众提供了信息机会。从19世纪80年代发展起来的批判性反精神病学运动，在法庭上做出的精神病学陈述方面严格利用了这些机会。公众在与精神病医生的冲突中发挥了主要作用，包括关于“好争论”及其定义的争论。本文讨论了精神病医生和非专业医学人士在关于“病理性好争论者”的专业知识与“常识”的斗争中是如何相互对抗的。
