Rees Owen
History, Politics and Philosophy, Manchester Metropolitan University, Manchester, UK
Med Humanit. 2020 Mar;46(1):46-54. doi: 10.1136/medhum-2018-011557. Epub 2019 Apr 19.
In the pursuit to offer validity and lineage to the modern diagnosis of post-traumatic stress disorder (PTSD), non-historical scholars often remove ancient episodes from their social context and retrospectively diagnose them based on our modern diagnostic criteria. This approach reinforces our pre-existing ideas, and form a confirmation bias that does not help to grow our understanding of these injuries. As this article argues, the use of ancient precedents would offer greater benefit to the psychological and medical profession when used to ask new questions rather than reiterate old answers. This article addresses the use of ancient history in the psychological disciplines, especially concerning the topic of post-traumatic stress, and its earlier categorisation as shell shock. Before assessing the non-historical scholarship for the use of ancient precedents, this article sets out the historical debate around the topic and the methodological issues involved in using PTSD as a model with which to examine the ancient world. After which, the use of ancient history by psychological and medical researchers examining PTSD will be assessed. In turn, it will be shown how the removal of historical context has allowed misunderstandings of the original texts and for historical errors to permeate. The story of Epizelus, a man who went blind in battle without incurring any injury, will be used as a case study to show how ancient history has been misused, and vital parts of his life story have been ignored because they do not fit the modern diagnostic model. In particular this article will show how ancient episodes have been used to justify modern ideas and modern understanding, and propose new therapies, without the necessary historical due diligence.
为了使创伤后应激障碍(PTSD)的现代诊断具有有效性和连贯性,非历史学者常常将古代事件与其社会背景剥离开来,并依据我们现代的诊断标准进行回顾性诊断。这种方法强化了我们既有的观念,形成了一种确认偏差,无助于增进我们对这些损伤的理解。正如本文所论证的,运用古代先例来提出新问题,而非重复旧答案,会给心理学和医学专业带来更大的益处。本文探讨了古代历史在心理学学科中的运用,尤其是关于创伤后应激这一主题,以及它早期被归类为炮弹休克症的情况。在评估非历史学者对古代先例的运用之前,本文先阐述了围绕该主题的历史争论以及将PTSD作为一种模式来审视古代世界所涉及的方法论问题。之后,将评估心理学和医学研究人员在研究PTSD时对古代历史的运用。相应地,将展示去除历史背景是如何导致对原始文本的误解以及历史错误的渗透。埃皮泽洛斯的故事,即一个在战斗中失明却未受任何外伤的人,将被用作案例研究,以说明古代历史是如何被滥用的,以及他人生故事的重要部分是如何因不符合现代诊断模式而被忽视的。特别是本文将展示古代事件是如何被用来为现代观念和现代理解提供正当理由,并提出新疗法的,而没有进行必要的历史尽职调查。