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精神障碍患者医院治疗的发展。

Development of hospital treatment of persons with mental disorders.

作者信息

Nenadović Milutin M

机构信息

Special Hospital for Mental Disorders "Dr. Laza Lazarević", Belgrade, Serbia.

出版信息

Srp Arh Celok Lek. 2011 Dec;139 Suppl 1:6-9.

Abstract

Discordances of harmonic mental functioning are as old as the human kind. Psychopathological behaviour of an individual in the past was not treated as an illness. That means that psychopathology was not considered an illness. In all past civilizations discordance of mental harmony of an individual is interpreted from the physiological aspect. Psychopathologic expression was not considered an illness, so social attitudes about psychiatric patients in the past were non-medical and generally speaking inhuman. Hospitals did not follow development of medicine for admission of psychiatric patients in past civilizations, not even in the antique era. According to historic sources, the first hospital that was meant for mental patients only was established in the 15th century, 1409 in Valencia (Spain). Therefore mental patients were isolated in a special institution-hospital, and social community rejected them. Only in the new era psychopathological behaviour begins to be treated as an illness. Therefore during the 19th century psychiatry is developed as a special branch of medicine, and mental disorder is more and more seen according to the principals of interpretation of physical illnesses. By the middle of the 19th century psychiatric hospitals are humanized, and patients are being less physically restricted. Deinstitutialisation in protection of mental health is the heritage of reforms from the beginning of the 19th century which regarded the prevention of mental health protection. It was necessary to develop institutions of the prevention of protection in the community which would primarily have social support and characteristics.

摘要

心理功能协调障碍与人类本身一样古老。过去,个体的精神病理行为不被视为一种疾病。这意味着精神病理学不被认为是一种疾病。在所有过去的文明中,个体心理和谐的失调都是从生理角度来解释的。精神病理表现不被视为一种疾病,所以过去社会对精神病患者的态度是非医学的,总体而言是不人道的。在过去的文明中,甚至在古代,医院都没有跟上收治精神病患者的医学发展步伐。根据历史资料,第一家专门收治精神病患者的医院于15世纪,即1409年在西班牙巴伦西亚建立。因此,精神病患者被隔离在一个特殊的机构——医院里,社会群体排斥他们。直到新时代,精神病理行为才开始被视为一种疾病。因此,在19世纪,精神病学发展成为医学的一个特殊分支,精神障碍越来越多地按照身体疾病的解释原则来看待。到19世纪中叶,精神病医院实现了人性化,对患者的身体限制也减少了。保护精神健康方面的去机构化是19世纪初改革的遗产,这些改革关注精神健康保护的预防。有必要在社区中发展具有社会支持和特色的预防保护机构。

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