Marchais P
Service de psychiatrie, Centre Médico-Chirurgical Foch, Suresnes.
Ann Med Psychol (Paris). 1987 Apr;145(4):293-327.
In an ere in which man is beginning to master and make his way into the various systems which surround him (atom, cosmic exploration, organ transplant, genetic manipulations...), a clinical practice which would remain centered on the various forms and apparent characteristics of psychic dysfunctioning, has become anachronical. Since 35 years, the author has been trying to introduce gradually within psychiatry, specific processes which would confer to it more scientific status. The disentanglement from traditional clinical practice, made easier by the fact of working in the open department of a general hospital as well as the perfecting of an adequate method structurating observation with modern logical-mathematic notions, enabled him to elaborate a new clinical psychiatry, open to present techniques and more strict interdisciplinary research. The chronological account of the steps which have been taken allows a simplified synthesis of this new psychiatry.
在一个人类开始掌控并深入探索其周围各种系统(原子、宇宙探索、器官移植、基因操作……)的时代,一种仍以精神功能障碍的各种形式和表面特征为中心的临床实践已变得不合时宜。35年来,作者一直试图在精神病学领域逐步引入一些特定的方法,使其具有更高的科学地位。由于在综合医院的开放科室工作,脱离传统临床实践变得更加容易,同时借助现代逻辑数学概念完善了一种构建观察的适当方法,这使他能够精心打造一种新的临床精神病学,它接纳当前的技术并开展更严格的跨学科研究。按时间顺序记述所采取的步骤,可以对这种新的精神病学进行简化综合。