Hermle L
Fortschr Neurol Psychiatr. 1986 Mar;54(3):69-79. doi: 10.1055/s-2007-1001852.
Degeneration (called "dégénérescence" in French and "Degenerationslehre" in German terminology) as a theory of human retrogression manifested by degenerative signs in individuals, was a major factor in medicine and especially in psychiatry during the second half to the 19th century and at the beginning of the 20th century. Theories of retrogression seemed to supply conclusive hypothetic explanatory models for a wide variety of deviations from so-called "standard" values of health criteria for neurological diseases, brain disorders and mental diseases. The theory of degeneration, or retrogression, was closely interlinked with the complex ideological pattern that formed the background of philosophy and natural science during the nineteenth century. The theory of degeneration experienced mutual interaction and stimulation by the interplay with various other theories that were "en vogue" at that time, such as the development of positivistic natural science and of the theory of evolution, which in turn gave birth to the theories of social Darwinism, eugenics, genetics and to the development of biological-vitalistic approaches. In contrast with the other fields of medicine, anatomic pathology was unable to uncover any aetiological linkups for the various types of mental diseases. Hence, the theories of degeneration seemed to offer a conclusive concept for the genesis of mental disorders. The concept of degeneration was based on the theory of polymorphism which in turn positioned the wide range of neurological, mental and brain diseases within the descending series of progressing degeneration.
退化(在法语中称为“dégénérescence”,在德语术语中称为“Degenerationslehre”)作为一种人类衰退理论,表现为个体的退化迹象,在19世纪下半叶至20世纪初是医学尤其是精神病学中的一个主要因素。衰退理论似乎为神经疾病、脑部疾病和精神疾病的各种偏离所谓健康标准“正常值”的情况提供了确凿的假设解释模型。退化或衰退理论与19世纪形成哲学和自然科学背景的复杂思想模式紧密相连。退化理论通过与当时“流行”的各种其他理论相互作用而经历了相互影响和刺激,比如实证主义自然科学和进化论的发展,进而催生了社会达尔文主义、优生学、遗传学理论以及生物活力论方法的发展。与医学的其他领域不同,解剖病理学无法揭示各种精神疾病的任何病因联系。因此,退化理论似乎为精神障碍的成因提供了一个确凿的概念。退化概念基于多态性理论,该理论反过来又将广泛的神经、精神和脑部疾病置于渐进性退化的递减序列中。