Dimitriadis Yorgos
Université de Paris, France.
Hist Psychiatry. 2020 Jun;31(2):208-216. doi: 10.1177/0957154X20904036. Epub 2020 Feb 27.
The question of causation in psychiatry is one of the oldest and most difficult in this field. This paper is the first of two published in this journal. First, it traces the development of psychogenic and organogenic views of mental disorders from Pinel until the early twentieth century. This includes the debate as to how a disturbance of function might create a lesion even without a visible pathological trace. The second part of the paper discusses in detail the controversy between functional and organic causes of mental disease. These concepts evolved taking into account psychological factors and also the response of the uninjured parts of the nervous system to trauma of various kinds.
精神病学中的因果关系问题是该领域最古老且最具挑战性的问题之一。本文是在本期刊发表的两篇系列文章中的第一篇。首先,它追溯了从皮内尔到20世纪初精神障碍的心因性和器官性观点的发展。这包括关于功能障碍如何在没有可见病理痕迹的情况下产生病变的争论。本文的第二部分详细讨论了精神疾病功能性病因和器质性病因之间的争议。这些概念的演变考虑了心理因素以及神经系统未受损部分对各种创伤的反应。