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挪威精神病学史。

History of Norwegian psychiatry.

作者信息

Kringlen Einar

机构信息

Department of Psychiatry, University of Oslo, Vinderen, 0319 Oslo, Norway.

出版信息

Nord J Psychiatry. 2012 Mar;66 Suppl 1:31-41. doi: 10.3109/08039488.2011.638726.

Abstract

Psychiatry as a professional and scientific enterprise developed in Norway in the middle of the 19th century. During the last part of this century, four state asylums were erected, followed by several county asylums during the first part of the 20th century. From the 1870 s, institutions for private care were established, usually in the vicinity of the asylums. During the middle of the 19th century, psychiatry in Norway was influenced by "moral treatment", but during the end of the century somatic ideas prevailed. After the Second World War, Norwegian psychiatry was influenced by Dutch and British social psychiatry, followed by American psychoanalytic-oriented psychiatry during the 1960-70s. Since the 1980s, the climate changed, with more emphasis on classification and drug therapy. The new American DSM-III also influenced Norwegian psychiatry, and cognitive-behavioral therapies became more prevalent. Norwegian psychiatric research has during the last few decades been characterized by epidemiological studies, clinical follow-ups and twin research.

摘要

精神病学作为一门专业的科学事业于19世纪中叶在挪威发展起来。在19世纪后半叶,建立了四家国立精神病院,随后在20世纪上半叶又建立了几家郡立精神病院。从19世纪70年代起,开始设立私立护理机构,这些机构通常建在精神病院附近。19世纪中叶,挪威的精神病学受到“道德治疗”的影响,但到世纪末,躯体观念盛行。第二次世界大战后,挪威精神病学受到荷兰和英国社会精神病学的影响,随后在20世纪60至70年代受到美国精神分析导向精神病学的影响。自20世纪80年代以来,情况发生了变化,更加注重分类和药物治疗。新的美国《精神疾病诊断与统计手册》第三版(DSM-III)也对挪威精神病学产生了影响,认知行为疗法变得更加普遍。在过去几十年里,挪威的精神病学研究以流行病学研究、临床随访和双胞胎研究为特点。

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