Carstairs G M
Am J Psychiatry. 1977 Sep;134(9):979-83. doi: 10.1176/ajp.134.9.979.
The author describes the dialectical struggle in psychiatric treatment between those who advocate maximum liberty in the management of the mentally disordered and those who believe such patients will benefit more from firm guidance and discipline. He uses illustrations from British psychiatric history to illustrate this struggle. He also points out and discusses two current challenges to psychiatry worldwide: the unconstructive hostility of the various schools of antipsychiatry and the political abuse of psychiatric diagnosis and treatment, particularly in the USSR.
作者描述了精神病治疗中的辩证斗争,一方主张在管理精神障碍患者时给予最大程度的自由,另一方则认为这类患者会从严格的指导和纪律中获益更多。他引用英国精神病学历史中的事例来说明这一斗争。他还指出并讨论了当今全球精神病学面临的两个挑战:各种反精神病学流派的非建设性敌意,以及精神病诊断和治疗在政治上的滥用,尤其是在前苏联。