Singh Ajai R, Singh Shakuntala A
Psychiatrist, Editor, Mens Sana Monographs.
Mens Sana Monogr. 2009 Jan;7(1):128-83. doi: 10.4103/0973-1229.40731.
(a) the issues of silence and speech, and life and disease; (b) whether we need to know some or all of the truth, and how are exact science and philosophical reason related; (c) the phenomenon of Why, How, and What; (d) how are mind and brain related; (e) what is robust eclecticism, empirical/scientific enquiry, replicability/refutability, and the role of diagnosis and medical model in psychiatry; (f) bioethics and the four principles of beneficence, non-malfeasance, autonomy, and justice; (g) the four concepts of disease, illness, sickness, and disorder; how confusion is confounded by these concepts but clarity is imperative if we want to make sense out of them; and how psychiatry is an interim medical discipline.THE SECOND PART CALLED THE ISSUES DEALS WITH: (a) the concepts of nature and nurture; the biological and the psychosocial; and psychiatric disease and brain pathophysiology; (b) biology, Freud and the reinvention of psychiatry; (c) critics of psychiatry, mind-body problem and paradigm shifts in psychiatry; (d) the biological, the psychoanalytic, the psychosocial and the cognitive; (e) the issues of clarity, reductionism, and integration; (f) what are the fool-proof criteria, which are false leads, and what is the need for questioning assumptions in psychiatry.The third part is called Psychiatric Disorder, Psychiatric Ethics, and Psychiatry Connected Disciplines. It includes topics like (a) psychiatric disorder, mental health, and mental phenomena; (b) issues in psychiatric ethics; (c) social psychiatry, liaison psychiatry, psychosomatic medicine, forensic psychiatry, and neuropsychiatry.The fourth part is called Antipsychiatry, Blunting Creativity, etc. It includes topics like (a) antipsychiatry revisited; (b) basic arguments of antipsychiatry, Szasz, etc.; (c) psychiatric classification and value judgment; (d) conformity, labeling, and blunting creativity.The fifth part is called The Role of Philosophy, Religion, and Spirituality in Psychiatry. It includes topics like (a) relevance of philosophy to psychiatry; (b) psychiatry, religion, spirituality, and culture; (c) ancient Indian concepts and contemporary psychiatry; (d) Indian holism and Western reductionism; (e) science, humanism, and the nomothetic-idiographic orientation.The last part, called Final Goal, talks of the need for a grand unified theory.The whole discussion is put in the form of refutable points.
第一部分称为“引言”,探讨了以下内容:(a)沉默与言语、生命与疾病的问题;(b)我们是否需要了解部分或全部真相,以及精确科学与哲学理性是如何关联的;(c)“为何”“如何”及“是什么”的现象;(d)心智与大脑是如何关联的;(e)什么是稳健的折衷主义、实证/科学探究、可重复性/可证伪性,以及诊断和医学模式在精神病学中的作用;(f)生物伦理学以及行善、不伤害、自主和公正这四项原则;(g)疾病、病患、患病和障碍这四个概念;这些概念如何造成混淆,但如果我们想理解它们就必须保持清晰;以及精神病学如何是一门过渡性的医学学科。
第二部分称为“问题”,涉及以下内容:(a)天性与教养的概念;生物学因素与心理社会因素;以及精神疾病与大脑病理生理学;(b)生物学、弗洛伊德与精神病学的重塑;(c)对精神病学的批评、身心问题以及精神病学中的范式转变;(d)生物学、精神分析、心理社会和认知方面;(e)清晰性、还原论和整合的问题;(f)在精神病学中哪些是万无一失的标准,哪些是错误线索,以及质疑假设的必要性。
第三部分称为“精神障碍、精神科伦理学及与精神病学相关的学科”。它包括以下主题:(a)精神障碍、心理健康和精神现象;(b)精神科伦理学中的问题;(c)社会精神病学、联络精神病学、心身医学、法医精神病学和神经精神病学。
第四部分称为“反精神病学、抑制创造力等”。它包括以下主题:(a)对反精神病学的重新审视;(b)反精神病学的基本论点,如萨斯等人的观点;(c)精神疾病分类与价值判断;(d)从众、贴标签和抑制创造力。
第五部分称为“哲学、宗教和灵性在精神病学中的作用”。它包括以下主题:(a)哲学与精神病学的相关性;(b)精神病学、宗教、灵性和文化;(c)古印度概念与当代精神病学;(d)印度的整体论与西方的还原论;(e)科学、人文主义以及通则性 - 个别性取向。
最后一部分称为“最终目标”,论述了需要一个大一统理论。
整个讨论以可证伪的观点形式呈现。