Dirkx J
Nederlands Psychoanalytisch Instituut, Maliestraat 1A, 3581 SH Utrecht.
Tijdschr Psychiatr. 2008;50(7):405-15.
Nowadays psychiatry is dominated by the scientific perspective of biological psychiatry according to which a psychiatrist should be first and foremost a brain specialist with a biomedical approach to patients and their problems. This constitutes a threat to the fundamental notion that a psychiatrist is concerned primarily with the workings of the mind and it reduces the discipline to a form of behavioural neurology. This restrictive interpretation fails to do justice to the theory that psychopathology has a multitude of causes. This article provides an overview of the methodological, socio-cultural and metaphysical causes and effects of this one-sided development. The overview is followed by a plea for a pluralistic rather than a deterministic view of psychiatry, which is an extraordinary type of medical discipline.
如今，精神病学由生物精神病学的科学视角主导，据此，精神科医生首先应该是一名脑科专家，采用生物医学方法来治疗患者及其问题。这对精神科医生主要关注心理活动的基本观念构成了威胁，并将该学科简化为行为神经学的一种形式。这种狭隘的解释无法公正地对待精神病理学有多种病因的理论。本文概述了这种片面发展的方法论、社会文化和形而上学方面的因果关系。概述之后是呼吁对精神病学采取多元而非决定论的观点，精神病学是一种特殊类型的医学学科。
