Tanaka Shinichiro
Health Care Service Center Tokyo University of the Arts Tokyo Japan.
PCN Rep. 2023 Aug 9;2(3):e130. doi: 10.1002/pcn5.130. eCollection 2023 Sep.
Pathography is a medical anthropological approach that examines the relationship between creation and psychiatric disorders through psychopathological and psychoanalytical lenses using case studies. Since it was first defined in the mid-1960s, pathography in Japan has kept pace with current advances in psychopathological research. However, to date, the findings of pathographic research in Japan have not been published in English. Therefore, the purpose of this paper is to introduce the history, methodology, and development of pathography in Japan to the English-speaking world, accompanied by some classical examples. The paper first describes the history of pathography, from its origins in ancient Greece to important research in the field, including examples of publications and translations. Next, the paper presents the methodology of classical pathography as an approach that shares clinical psychopathology and psychiatric evaluation methods. This topic also introduces five main theses on the relationship between creativity and psychiatric disorders: opposition ("in spite of"), parallelism ("because of"), substitution ("instead of"), intrinsic ("belonging to"), and sublimation ("subsequent to"). Finally, the paper describes the development of pathographic research in Japan by summarizing the pathographies of several figures, including both creators and characters in literary works, and introducing the latest research on salutography, a newly developed field of study that explores the relationship between creativity and mental health. The paper concludes with a few words about the current limitations of pathography and suggestions for ethical considerations with respect to privacy legislation.
病例志是一种医学人类学方法,它通过案例研究,运用精神病理学和精神分析的视角来审视创作与精神障碍之间的关系。自20世纪60年代中期首次被定义以来,日本的病例志研究一直紧跟精神病理学研究的当前进展。然而,迄今为止,日本病例志研究的成果尚未以英文发表。因此,本文的目的是向英语世界介绍日本病例志的历史、方法和发展,并辅以一些经典实例。本文首先描述病例志的历史,从其在古希腊的起源到该领域的重要研究,包括出版物和翻译实例。接下来,本文介绍经典病例志的方法,它是一种共享临床精神病理学和精神病学评估方法的途径。本主题还介绍了关于创造力与精神障碍之间关系的五个主要论点:对立(“尽管”)、平行(“因为”)、替代(“而不是”)、内在(“属于”)和升华(“之后”)。最后,本文通过总结包括文学作品中的创作者和人物在内的几个人物的病例志,并介绍关于健康志的最新研究,来描述日本病例志研究的发展,健康志是一个新发展的研究领域,探索创造力与心理健康之间的关系。本文最后对病例志目前的局限性以及隐私立法方面的伦理考量建议作了几点说明。