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医学模式的谬误以及精神药物作为治疗精神障碍方式的危险性。

The fallacy of the medical model and the dangers of psychotropic drugs as a mode of treatment for mental disorders.

作者信息

Sanua V D

机构信息

Department of Psychology, St. John's University, 11439, Jamaica, NY.

出版信息

J Prim Prev. 1996 Sep;17(1):149-73. doi: 10.1007/BF02262743.

Abstract

With the decline of psychoanalytic thinking since the 50's and the 60's, mental disorders have been attributed to organic factors. This has been influenced by Social Darwinism, a belief in the survival of the fittest. The implication of such a philosophy is that social intervention is not the appropriate approach for the treatment of mental aberrations. The source of the problem lies within the individual. For example, schizophrenia has been attributed to brain anomalies, chemical imbalances or to the inheritance of genetic factors. To this day, in spite of the research efforts in that direction, the pursuit of these findings were proven to be illusive. Nevertheless, the search continues with a complete neglect of social factors. One problem is that writers disagreeing with this philosophy, find it difficult to publish their dissenting views. Since the source of the problem is within the individual, aberrations should be treated with drugs. However the efficacy of these drugs have not yet been confirmed and instead have been causing a lot of physical problems for patients. It is unfortunate that a number of influential clinical psychologists have adopted the medical model and are trying to obtain by legislation "prescription privileges" for psychologists. The author believes that this trend could be destructive to the profession of psychology, since it will weaken if not destroy the humanistic approach in the treatment of the mentally ill.

摘要

自20世纪五六十年代以来,随着精神分析思想的式微,精神障碍被归因于器质性因素。这受到了社会达尔文主义的影响,即一种适者生存的信念。这种哲学的含义是,社会干预并非治疗精神错乱的恰当方法。问题的根源在于个体。例如,精神分裂症被归因于大脑异常、化学失衡或遗传因素的遗传。时至今日,尽管在这方面进行了研究,但这些研究结果被证明是虚幻的。然而,人们仍在继续寻找,完全忽视了社会因素。一个问题是,不同意这种哲学的作者很难发表他们的不同意见。由于问题的根源在于个体,精神错乱应该用药物治疗。然而,这些药物的疗效尚未得到证实,反而给患者带来了许多身体问题。不幸的是,一些有影响力的临床心理学家采用了医学模式,并试图通过立法为心理学家争取“处方权”。作者认为,这种趋势可能会对心理学专业造成破坏,因为它将削弱甚至摧毁治疗精神疾病的人文方法。

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