Maatz A, Hoff P
Psychiatrische Universitätsklinik Zürich, Lenggstrasse 31, 8032, Zürich, Schweiz.
Nervenarzt. 2017 Jan;88(1):78-82. doi: 10.1007/s00115-016-0091-3.
In the history of psychiatry, "schizophrenia" has often been portrayed as the discipline's pars pro toto, which prototypically represents mental illness as such and which draws together the fundamental questions concerning psychiatric epistemology and practice. Taking a conceptual history approach, this essay examines how "schizophrenia" is represented in psychiatric discourse and what aspects of its representation account for the pars pro toto status. Three such aspects are identified: a pragmatic, an existential and a justificatory aspect. Following up these aspects in present day psychiatric discourse, it is concluded that "schizophrenia" is losing its special status as the representations of psychiatry and of mental illness have changed and become more diverse. Tentative conclusions regarding current debates about the abolition of "schizophrenia" are drawn.
在精神病学史上,“精神分裂症”常被视为该学科的整体代表,它典型地代表了精神疾病本身,并汇集了有关精神病学认识论和实践的基本问题。本文采用概念史的方法,考察“精神分裂症”在精神病学话语中的呈现方式,以及其呈现的哪些方面促成了它作为整体代表的地位。确定了三个这样的方面:一个是实用主义方面、一个是存在主义方面和一个辩护方面。通过在当今精神病学话语中追踪这些方面,得出的结论是,随着精神病学和精神疾病的呈现方式发生变化并变得更加多样化,“精神分裂症”正在失去其特殊地位。文中还就当前关于废除“精神分裂症”的辩论得出了初步结论。