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实践中的精神病理学与因果解释。关于海德格尔《祖利孔研讨班》的批判性笔记。

Psychopathology and causal explanation in practice. A critical note on Heidegger's Zollikon Seminars.

作者信息

Meynen Gerben, Verburgt Jacco

机构信息

Department of Philosophy, VU University Amsterdam, EMGO Institute VU medical center, De Boelelaan 1105, 1081 HV, Amsterdam, The Netherlands.

出版信息

Med Health Care Philos. 2009 Mar;12(1):57-66. doi: 10.1007/s11019-008-9137-z. Epub 2008 Jul 1.

Abstract

From 1959 until 1969, Heidegger lectured to psychiatrists and psychiatry students at the University of Zurich Psychiatric Clinic and in Zollikon. The transcriptions of these lectures were published as the Zollikon Seminars. In these seminars Heidegger is highly critical of psychoanalysis, because of its causal and objectifying approach to the human being. In general, Heidegger considers it an objectification or even an elimination of the human being to approach a patient from a causal perspective. In our view Heidegger has overlooked the peculiar nature and complexity of psychotherapy and psychiatry, namely that psychiatry is not just a discipline that combines a hermeneutical approach and a natural science approach on a theoretical level, but it also deals with psychopathology in practice. We argue, also referring to Strawson and Gadamer, that in psychiatric practice causal explanation and hermeneutic understanding are no mutually exclusive approaches. We conclude that the encounter of philosophy and psychiatry in matters of causality and motivation could be particularly fruitful when the practical situation is addressed, recognizing the special character of psychopathology.

摘要

从1959年到1969年,海德格尔在苏黎世大学精神病诊所和措利孔为精神科医生和精神科学生授课。这些讲座的文字记录以《措利孔研讨会》为名出版。在这些研讨会上,海德格尔对精神分析提出了高度批评,因为它对人的因果性和客观化的研究方法。总体而言,海德格尔认为从因果角度去看病人是对人的一种客观化甚至是对人的消除。在我们看来,海德格尔忽略了心理治疗和精神病学的独特性质和复杂性,即精神病学不仅是一门在理论层面将诠释学方法和自然科学方法结合起来的学科,而且在实践中还处理精神病理学问题。我们还参考斯特劳森和伽达默尔的观点认为,在精神病学实践中,因果解释和诠释学理解并非相互排斥的方法。我们得出结论,当考虑到实际情况,认识到精神病理学的特殊性质时,哲学与精神病学在因果性和动机问题上的相遇可能会特别富有成果。

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