Remschmidt Helmut
Klinik für Kinder- und Jugendpsychiatrie und -psychotherapie der Philipps-Universität Marburg.
Z Kinder Jugendpsychiatr Psychother. 2009 Sep;37(5):379-90; quiz 390-1. doi: 10.1024/1422-4917.37.5.379.
It took more than 100 years until child and adolescent psychiatry reached its autonomy. Its roots, however, are by far older. Psychiatry and pediatrics can be looked upon as mother disciplines. But there are also other roots outside medicine, comprising pedagogics, philosophy, psychology, law and social sciences. During national socialism, child psychiatry took a disastrous development, associated with systematic murder of children in so-called "special children's units". This previous history complicated its development after the Second World War. According to the Zeitgeist, six chronologically overlapping phases in West Germany can be distinguished: (1) Search for orientation and reorganization, (2) decade of consolidation and uncertainty, (3) decade of social psychiatry and anti-psychiatric movements, (4) decade of reforms in psychiatry, (5) decade of return to biological psychiatry, and (6) decade of integration of different schools of thoughts and procedures. In West-Germany, child and adolescent psychiatry reached its autonomy 1968 which was of great importance for its further development. In the post-war period after the Second World War, the department of child and adolescent psychiatry at Philipps-University Marburg played an important role which is reflected in the establishment of the first chair of child and adolescent psychiatry in 1958 in West Germany (full professorship) as well as in important impulses for the improvement of care, research initiatives as well as for the development of international cooperation. The latter was reflected in the organization of the 11th ESCAP Congress 1999 in Hamburg and the 16th IACAPAP World Congress 2004 in Berlin.
儿童与青少年精神病学经过100多年才实现了自身的独立发展。然而,其根源却要古老得多。精神病学和儿科学可被视为母学科。但医学领域之外也有其他根源,包括教育学、哲学、心理学、法学和社会科学。在纳粹统治时期,儿童精神病学经历了灾难性的发展,与在所谓的“特殊儿童病房”中对儿童进行的系统性谋杀有关。这段既往历史使它在第二次世界大战后的发展变得复杂。根据时代精神,在西德可以区分出六个按时间顺序重叠的阶段:(1)寻求方向与重组阶段,(2)巩固与不确定的十年,(3)社会精神病学与反精神病学运动的十年,(4)精神病学改革的十年,(5)回归生物精神病学的十年,以及(6)不同思想流派和程序整合的十年。在西德,儿童与青少年精神病学于1968年实现了自身的独立发展,这对其进一步发展具有重要意义。在第二次世界大战后的战后时期,马尔堡菲利普斯大学的儿童与青少年精神病学系发挥了重要作用,这体现在1958年在西德设立了首个儿童与青少年精神病学教授职位(正教授),以及在改善护理、研究倡议以及国际合作发展方面产生的重要推动作用。后者体现在1999年在汉堡组织召开的第11届亚太地区儿童与青少年精神病学大会以及2004年在柏林组织召开的第16届国际儿童与青少年精神病学协会世界大会上。