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[德国的精神分裂症科学与精神科移民]

[The German science of schizophrenia and psychiatric emigration].

作者信息

Peters U H

机构信息

Nervenklinik, Universität zu Köln.

出版信息

Fortschr Neurol Psychiatr. 1988 Nov;56(11):347-60. doi: 10.1055/s-2007-1001798.

Abstract

1933-1938 German psychiatry has suffered great losses, the consequences of which are investigated as far as schizophrenia theory is concerned. Our stress is on American schizophrenia theory, for the bulk of psychiatrists has emigrated to the US, and after their arrival an unprecedented rise of psychiatry began. Even prior to this time Kraepelin's theory of dementia praecox had, adversely to the English-American tradition, intruded into American psychiatry, seen via the critical eyes of Adolf Meyer though. Meyer added a psychodynamic cultural theory, which was followed by an unduly expansion of schizophrenia diagnoses. The phenomenological school was little common, and because of its completely different philosophy was hardly understood in the US. Its principal publication, "schizophrenia", edited 1932 by Wilmans, has not been translated into English. E. von Domarus was capable to unfold a thorough influence across Arieti, which has been shown in core example. The American psychodynamic school was hardly comparable to its European counterpart, therefore its exponents, e.g. F. and O. Kant, were barely known. One of the most important schools of family therapy originated under the personal influence of Adolf Meyer and was supported by Ruth Wilmans-Lidz. Most of its members later joined the psychoanalytic movement. Nearly all of the German speaking psychoanalysts have emigrated. Nevertheless psychoanalytic emigrants have added little to schizophrenia theory. Their contributions mainly concerned therapy, which necessitates a theory also. The example of Frieda Fromm-Reichmann has been shown more in detail, and a few others have been mentioned. Particular paragraphs are dedicated as to how Leopold Bellak conveyed European schizophrenia literatur, others to Frederick Redlich and the stratum theory, as well as Heinz Lehman and psychopharmacology. Starting 1953 psychopharmacology developed rapidly and generated a "New Psychiatry", which ended up in DSM III. Its schizophrenia theory dropped the ideas of the preceding decades and, as far as phenomenology is concerned, attached to its further development in nazi Germany.

摘要

1933年至1938年期间,德国精神病学遭受了巨大损失,就精神分裂症理论而言,其后果正在被调查。我们关注的是美国的精神分裂症理论,因为大部分精神科医生都移民到了美国,他们抵达后,美国的精神病学开始了前所未有的发展。甚至在此之前,克雷佩林的早发性痴呆理论就违背英美传统进入了美国精神病学领域,不过是从阿道夫·迈耶的批判性视角来看待的。迈耶增加了一种心理动力学文化理论,随后精神分裂症诊断出现了过度扩张。现象学学派并不常见,由于其哲学完全不同,在美国几乎不被理解。其主要出版物《精神分裂症》于1932年由威尔曼斯编辑,尚未被翻译成英文。E. 冯·多马鲁斯能够对阿里蒂产生全面影响,核心例子已有所体现。美国的心理动力学学派与欧洲的几乎无法相比,因此其代表人物,如F. 和O. 康德,几乎无人知晓。家庭治疗最重要的学派之一是在阿道夫·迈耶的个人影响下产生的,并得到了露丝·威尔曼斯 - 利兹的支持。其大多数成员后来加入了精神分析运动。几乎所有说德语的精神分析学家都移民了。然而,精神分析移民对精神分裂症理论的贡献不大。他们的贡献主要涉及治疗,而治疗也需要一种理论。弗里达·弗洛姆 - 赖希曼的例子已更详细地展示,还提到了其他一些人。特别段落专门讲述了利奥波德·贝拉如何传播欧洲精神分裂症文献,其他段落涉及弗雷德里克·雷德利希和阶层理论,以及海因茨·莱曼和精神药理学。从1953年开始,精神药理学迅速发展并催生了“新精神病学”,最终形成了《精神疾病诊断与统计手册》第三版。其精神分裂症理论摒弃了前几十年的观点,就现象学而言,与纳粹德国时期的进一步发展相关联。

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