Leighton A H
Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia.
Can J Psychiatry. 1990 Jun;35(5):385-9. doi: 10.1177/070674379003500504.
As a result of trying to apply both science and humanism to psychological problems, psychiatry is exposed to a welter of confusing issues in which science and intuition are pitted against each other. A growing awareness of the importance of quantification in clinical research and theory construction is having the effect of increasing the polarization. It is suggested in this paper that Karl Jaspers' formulation of ërklaren and verstehen provide a conceptual frame by which orderly relationships can replace much of the confusion and polarization. It is further suggested that this line of thought can be implemented and developed by the use of epidemiologic strategies. Historic and recent examples from the literature are provided in order to illustrate how this can be done.
由于试图将科学和人文主义都应用于心理问题，精神病学面临着一大堆令人困惑的问题，在这些问题中，科学与直觉相互对立。临床研究和理论构建中对量化重要性的认识不断提高，加剧了这种两极分化。本文提出，卡尔·雅斯贝尔斯对“解释”和“理解”的阐述提供了一个概念框架，通过这个框架，有序的关系可以取代许多混乱和两极分化的情况。还进一步提出，可以通过运用流行病学策略来实施和发展这一思路。文中提供了文献中的历史和近期实例，以说明如何做到这一点。
