Lipowski Z J
University of Toronto, Canada.
Aust N Z J Psychiatry. 1990 Dec;24(4):470-4. doi: 10.3109/00048679009062901.
From the early days of psychiatry as a distinct field of knowledge and clinical practice two competing approaches to the etiology and treatment of mental disorders have vied for dominance: the somatic and the psychic ("moral"). We are witnessing the same struggle today. To speak metaphorically, we can opt for either brainless or mindless psychiatry, as Szasz proposed. He failed to consider a third option, however, one that may be called an integrative approach. The latter is neither mindless nor brainless but rather encompasses both the mind and the brain in its theoretical and practical consideration. I will formulate the integrative approach in this paper and argue that it has a distinct advantage for both the study and treatment of mental disorders.
从精神病学作为一个独特的知识领域和临床实践领域的早期开始，针对精神障碍的病因学和治疗就有两种相互竞争的方法争夺主导地位：躯体方法和心理（“道德”）方法。如今我们也目睹着同样的斗争。打个比方说，正如萨斯所提议的，我们可以选择无脑的精神病学或者无心的精神病学。然而，他没有考虑到第三种选择，一种可以被称为综合方法的选择。后者既不是无心的也不是无脑的，而是在其理论和实践考量中兼顾了心理和大脑。在本文中，我将阐述这种综合方法，并论证它在精神障碍的研究和治疗方面都具有显著优势。
