Counseling Service for Students, Heidelberg University, Heidelberg, Germany.
J Affect Disord. 2010 Dec;127(1-3):43-9. doi: 10.1016/j.jad.2010.05.007. Epub 2010 Jun 3.
Goethe was one of the most creative poets, scientists and statesmen ever existing. Since the age of fourteen, he suffered from severe mood swings. His descriptions of feelings, emotions, and mental states related to temperamental and poetic melancholy, depressive episodes, dysthymic phases, and creativity are unique in respect to their phenomenological precision and richness. Furthermore, his (self-) therapeutic strategies and his self transformation in literature remain interesting until today for psychopathology, psychotherapy and creativity research.
Goethe's self-assessments in his works and letters as well as the description of him by others are analysed by phenomenological and hermeneutic methods from the perspective of current psychiatric classification and psychotherapeutic knowledge.
From a modern scientific perspective Goethe's mood swings are not to be regarded as expressions of a "poet's melancholy" in fashion at his time but as symptoms of depressive episodes. Several distinctive depressive episodes can be diagnosed which were characterized by long lasting depressive mood, lack of drive, interests and self-esteem combined with social retreat and physical illness. Moreover, Goethe described a mood disorder which fits into the modern concept of "driven dysthymia" or Bipolar II disorder. Goethe's depressive moods were associated with eminent poetic creativity whereas in times of scientific and political productivity Goethe seemed to be protected against depressive episodes.
Phenomenological and hermeneutic analysis cannot offer causal explanations but only reasons for understanding and communicative action.
In Goethe's life poetic incubation, illumination and elaboration seemed to be associated with psychic labilisation and dysthymia, sometimes with depressive episodes in a clinical sense. Thus, creative work was on the one hand triggered by depressive and dysthymic moods and served on the other hand to cope with depressive moods as well as with suicidal tendencies. In line with modern empirical results Goethe's scientific and social activities and achievements were associated with personal well-being, but also with lack of poetic inspiration.
歌德是有史以来最具创造力的诗人、科学家和政治家之一。从十四岁起,他就饱受严重的情绪波动之苦。他对与气质和诗意忧郁、抑郁发作、心境恶劣期和创造力相关的感觉、情感和心理状态的描述,在现象学的精确性和丰富性方面是独一无二的。此外,他在文学作品中的(自我)治疗策略和自我转变,即使在今天,对于精神病学、心理治疗和创造力研究也仍然具有趣味性。
从当前精神病学分类和心理治疗知识的角度,运用现象学和解释学方法,分析歌德在作品和信件中的自我评价以及他人对他的描述。
从现代科学的角度来看,歌德的情绪波动不应被视为当时流行的“诗人忧郁”的表现,而应被视为抑郁发作的症状。可以诊断出几个不同的抑郁发作,这些发作的特点是持续的抑郁情绪、缺乏动力、兴趣和自尊心,同时伴有社交退缩和身体疾病。此外,歌德还描述了一种符合现代“驱动性心境恶劣”或双相情感障碍 II 型概念的心境障碍。歌德的抑郁情绪与杰出的诗歌创造力有关,而在科学和政治生产力高的时期,他似乎免受抑郁发作的影响。
现象学和解释学分析不能提供因果解释,而只能提供理解和交际行动的理由。
在歌德的生活中,诗意的酝酿、启发和阐述似乎与心理不稳定和心境恶劣有关,有时甚至与临床上的抑郁发作有关。因此,创作工作一方面是由抑郁和心境恶劣情绪引发的,另一方面也用于应对抑郁情绪和自杀倾向。与现代实证结果一致的是,歌德的科学和社会活动及成就与个人幸福感有关,但也与缺乏诗意灵感有关。