University of California, Irvine, USA.
The Hong Kong University of Science and Technology, Hong Kong.
Hist Psychiatry. 2022 Sep;33(3):293-307. doi: 10.1177/0957154X221090631.
This article offers a preliminary analysis of psychiatric treatment during the Chinese Cultural Revolution on the basis of interviews and rare case records obtained from 'F Hospital' in southern China. In contrast to the prevailing view of psychiatry during this time, which highlights either rampant patient abuse or revolutionary ideology, we show that psychiatric treatment at this facility was not radically altered by the politics of the Maoist period. Instead, treatments were informed by a predominantly biomedical understanding of mental illness, one that derived from the prior training of the facility's lead physicians. Although political education was nominally incorporated into patient rehabilitation and outpatient care, it was not a constitutive element of inpatient treatment during the acute phase of illness.
本文基于对中国南方“F 医院”访谈和罕见病例记录的初步分析，探讨了文革期间的精神科治疗。与当时精神病学的主流观点——要么强调猖獗的患者虐待，要么强调革命意识形态相反，我们表明，该机构的精神科治疗并没有因毛泽东时期的政治而发生根本改变。相反，治疗主要基于对精神疾病的生物医学理解，这种理解源于该机构主要医生的先前培训。尽管名义上将政治教育纳入了患者康复和门诊护理，但它并不是疾病急性阶段住院治疗的构成要素。
