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马斯洛之锤:审视精神卫生保健和精神病学实践中唯解决方案论的危害

Maslow's hammer: considering the perils of solutionism in mental healthcare and psychiatric practice.

作者信息

Looi Jeffrey C L, Bonner Daniel, Maguire Paul

机构信息

Academic Unit of Psychiatry and Addiction Medicine, the Australian National University Medical School, Canberra Hospital, ACT, Australia.

出版信息

Australas Psychiatry. 2021 Dec;29(6):687-689. doi: 10.1177/10398562211005438. Epub 2021 May 20.

Abstract

OBJECTIVE

To discuss narrow pragmatism, manifest as digital and technical solutionism, in mental healthcare and psychiatric practice. Pragmatism is a view of the field of psychiatry as an instrument or tool for the purpose of providing psychiatric care for people with a mental illness. Solutionism, as proposed by Morozov, can be considered a special case of pragmatism that valorises an approach to solving real-world problems based on computation, algorithms and digital technology, which we extend to discuss other technical solutions such as medication, non-invasive brain stimulation and psychotherapy.

CONCLUSIONS

Digital or technical solutionism may unnecessarily constrain approaches to mental healthcare and psychiatric practice. Psychiatrists can consider, and should advocate for, appropriate adaptation of technology and technical solutions toward collaborative and effective mental healthcare.

摘要

目的

探讨在精神卫生保健和精神病学实践中表现为数字和技术解决主义的狭义实用主义。实用主义将精神病学领域视为一种工具,旨在为患有精神疾病的人提供精神科护理。正如莫罗佐夫所提出的,解决主义可被视为实用主义的一种特殊情况,它推崇基于计算、算法和数字技术来解决现实世界问题的方法,我们将其扩展以讨论其他技术解决方案,如药物治疗、非侵入性脑刺激和心理治疗。

结论

数字或技术解决主义可能会不必要地限制精神卫生保健和精神病学实践的方法。精神科医生可以考虑并应倡导对技术和技术解决方案进行适当调整,以实现协作性和有效性兼具的精神卫生保健。

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