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[德国精神病学中的创伤与精神病——一项历史分析]

[Trauma and psychosis in german psychiatry - a historical analysis].

作者信息

Kloocke Ruth, Schmiedebach Heinz-Peter, Priebe Stefan

机构信息

Unit for Social and Community Psychiatry, Queen Mary University of London.

出版信息

Psychiatr Prax. 2010 Apr;37(3):142-7. doi: 10.1055/s-0029-1223421. Epub 2010 Feb 10.

Abstract

OBJECTIVE

The paper reports an historical analysis of the debate on trauma and psychosis in German psychiatry.

METHODS

Content analysis of five leading German psychiatric journals between 1889 and 2005.

RESULTS

A substantial number of publications until the late 1960s addressed different aspects of potential links between trauma and subsequent psychosis. Papers exclusively focused on traumatic experience in adulthood. Most papers showed a negative attitude towards the idea of traumatic experiences causing psychosis.

CONCLUSIONS

The debate on psychological trauma and psychosis refers to a long tradition in German psychiatry. Whilst the discussion contributed significantly to concepts and classifications of psychotic illnesses, it did not generate a coherent model for the potential association of trauma and subsequent psychotic disorder.

摘要

目的

本文报告了对德国精神病学中创伤与精神病辩论的历史分析。

方法

对1889年至2005年间五份德国主要精神病学杂志进行内容分析。

结果

直到20世纪60年代末,大量出版物探讨了创伤与后续精神病之间潜在联系的不同方面。论文专门关注成年期的创伤经历。大多数论文对创伤经历导致精神病的观点持否定态度。

结论

关于心理创伤与精神病的辩论在德国精神病学中有着悠久的传统。虽然该讨论对精神病性疾病的概念和分类有重大贡献,但并未产生一个关于创伤与后续精神障碍潜在关联的连贯模型。

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