Haack Kathleen, Kumbier Ekkehardt, Herpertz Sabine C
Department of Psychiatry and Psychotherapy, University of Rostock, Gehlsheimer Strasse 20, 18147 Rostock, Germany.
Hist Psychiatry. 2010 Sep;21(83 Pt 3):261-77. doi: 10.1177/0957154X09102478.
Since its emergence as a medical discipline in its own right, i.e. since the end of the eighteenth century, disorders of the will have constituted a major area of interest for psychiatrists. But even before then, in 'pre-psychiatric' times so to speak, there were occasional descriptions of illnesses of the will or, in the nomenclature used at the time,'ambiguous emotional states of minds'.This study presents some very early attempts to tackle and explain the problems of amentia occulta, manie sons délire and monomania in German literature, concentrating on works written from a medical and philosophical perspective. Beginning with the differentiation between will and reason, this study explores some concepts in which the will was perceived as a possible cause of mental illness and thus became a topic of medical interest.
自18世纪末作为一门独立的医学学科出现以来，意志障碍就一直是精神病学家主要关注的领域。但甚至在此之前，可以说在“前精神病学”时期，就偶尔有关于意志疾病的描述，或者用当时的术语来说，是“心智的模糊情绪状态”。本研究展示了德国文学中对隐匿性智力缺陷、妄想性躁狂和偏执狂问题的一些非常早期的探讨和解释尝试，重点关注从医学和哲学角度撰写的作品。本研究从意志与理性的区分入手，探讨了一些将意志视为精神疾病可能病因从而成为医学关注话题的概念。
