Pyatnitskiy N Yu
Mental Health Research Center, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2021;121(4):77-85. doi: 10.17116/jnevro202112104177.
The influence of description of the forms of course of mental pathology and systematization of abnormal mental reactions in General Psychopathology of K. Jaspers(1913) on the subsequent development of the concepts of psychopathies dynamics and psychopathic reactions in the works of E. Kretschmer (1918), E. Bleuler (1920), K. Schneider (1927) and especially P.B. Gannushkin (1933) is analyzed. In the notion of personality development K. Jaspers included three components: constitutional growth, forming due to the interactions with the environment (including habits and exercises), mental reactions. The P.B. Gannushkin's description of the dynamics of psychopathies reflects the three-component structure of personality development suggested by K. Jaspers. The distinguished by K. Jaspers three principles of differentiation of mental reactions: according to occasion (including as the reactions to single acute trauma as to repeating chronic mental traumas), according to psychopathological structure, and according to the ground (psychopathic and schizophrenic), found its development in P.B. Gannushkin's clinical descriptions of situational and constitutional reactions and of boundaries between the pathopsychological structure of reactions and different constitutional ground.
分析了K.雅斯贝尔斯《普通精神病理学》(1913年)中精神病理学病程形式的描述及异常精神反应的系统化对E.克雷奇默(1918年)、E.布洛伊勒(1920年)、K.施奈德(1927年)尤其是P.B.甘努什金(1933年)著作中精神疾病动力学概念和精神疾病反应后续发展的影响。在人格发展概念方面,K.雅斯贝尔斯纳入了三个组成部分:体质成长、因与环境相互作用(包括习惯和锻炼)而形成的部分、精神反应。P.B.甘努什金对精神疾病动力学的描述反映了K.雅斯贝尔斯提出的人格发展的三部分结构。K.雅斯贝尔斯区分的精神反应的三个分化原则:根据情境(包括对单次急性创伤的反应以及对反复慢性精神创伤的反应)、根据精神病理结构、根据基础(精神疾病性和精神分裂症性),在P.B.甘努什金对情境性和体质性反应以及反应的病理心理结构与不同体质基础之间界限的临床描述中得到了发展。