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[1851年巴伐利亚精神卫生改革。一项行政现代化工具]

[Bavarian mental health reform 1851. An instrument of administrative modernization].

作者信息

Burgmair Wolfgang, Weber Matthias M

机构信息

Max-Planck-Institut für Psychiatrie, Deutsche Forschungsanstalt für Psychiatrie, Historisches Archiv, Kraepelinstrasse 2-10, 80804 München.

出版信息

Sudhoffs Arch. 2008;92(2):165-93.

Abstract

By 1850 the reformation of institutional psychiatric care in Bavaria was given the highest priority by monarchy and administration. Cooperating with experts, especially the psychiatrist Karl August von Solbrig, they provided for new asylums to be established throughout Bavaria in a surprisingly short period of time. It was, however, only at personal intervention of King Max II. that the administrative and financial difficulties which had existed since the beginning of the 19th century could be overcome. The planning of asylums done by each administrative district of Bavaria vividly reflects rivalry as well as cooperation between all governmental and professional agencies involved. Modernization of psychiatry was publicly justified by referring to scientism, the need for a more progressive restructuring of administration, and the paternalistic care of the monarchy, whereas, from an administrative point of view, aspects of psychiatric treatment, like what kind of asylum would be best, were rather insignificant. The structures established by means of the alliance between state administration and psychiatric care under the rule of King Max II. had a lasting effect on the further development of Bavaria.

摘要

到1850年,巴伐利亚州对精神病院护理制度的改革成为君主制和行政部门的首要任务。他们与专家合作,尤其是精神病学家卡尔·奥古斯特·冯·索尔布里格,在短得惊人的时间内在巴伐利亚各地建立了新的精神病院。然而,直到马克斯二世国王亲自出面干预,19世纪初以来一直存在的行政和财政困难才得以克服。巴伐利亚每个行政区对精神病院的规划生动地反映了所有相关政府和专业机构之间的竞争与合作。精神病学的现代化通过引用科学主义、行政部门进行更进步重组的必要性以及君主制家长式的关怀在公开场合得到了正当理由,而从行政角度来看,精神病治疗的各个方面,比如哪种精神病院最好,就显得相当无关紧要了。在马克斯二世国王统治下,通过国家行政部门与精神病护理之间的联盟建立起来的结构对巴伐利亚的进一步发展产生了持久影响。

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