Parnas Josef, Sass Louis A, Zahavi Dan
Hvidovre Psychiatric Center, University of Copenhagen, Brøndbyøstervej, Hvidovre, Denmark.
Curr Opin Psychiatry. 2008 Nov;21(6):578-84. doi: 10.1097/yco.0b013e32830e4610.
To survey recent developments in the English-language philosophy of psychopathology.
First, we present books - by Gallagher and Zahavi (2008) and by Thompson (2007) -that integrate phenomenology with cognitive science and neuroscience. This is followed by discussion of critical assessments of the DSM-III operational legacy and practical consequences recently offered by various psychiatrists, including Andreasen, Mullen,and Maj. These very bleak assessments are considered in light of certain new trends in explanatory models of psychiatry and associated metaphysical concerns. Finally, we concentrate on the phenomenological approach to schizophrenia, enjoying a renaissance in psychiatric literature. We emphasize the recent work on the issue of self disorders as a core aspect of psychopathology of schizophrenia and criticize the accuracy of a recent survey (published in this journal) of phenomenological approaches to schizophrenia, thereby rectifying important misunderstandings.
The review emphasizes the fundamental importance of philosophy of psychopathology in clarifying concepts, highlighting epistemological problems, and helping to provide adequate distinctions at the phenomenological level for use in empirical research.
审视英文精神病学哲学领域的近期发展。
首先,我们介绍加拉格尔和扎哈维(2008年)以及汤普森(2007年)所著的将现象学与认知科学和神经科学相结合的书籍。接着讨论了包括安德里亚森、马伦和马伊等多位精神病学家近期对《精神疾病诊断与统计手册》第三版操作传统及实际后果的批判性评估。鉴于精神病学解释模型的某些新趋势及相关形而上学问题,对这些极为悲观的评估进行了考量。最后,我们聚焦于精神分裂症的现象学方法,该方法在精神病学文献中正在复兴。我们强调近期将自我障碍问题作为精神分裂症精神病理学核心方面的研究,并批评了近期发表在本杂志上的一项关于精神分裂症现象学方法调查的准确性,从而纠正了重要误解。
本综述强调精神病学哲学在澄清概念、突出认识论问题以及在现象学层面为实证研究提供充分区分方面的根本重要性。