抑郁与失落：罗伯特·伯顿《忧郁的剖析》（1621 年）中的一个主题。

Depression and loss: a theme in Robert Burton's "Anatomy of melancholy" (1621).

作者信息

Brink A

出版信息

Can J Psychiatry. 1979 Dec;24(8):767-72. doi: 10.1177/070674377902400811.

Abstract

Robert Burton's Anatomy of Melancholy (1621) can hardly be thought of as a modern study in psychiatry, but it contains more elements of modern theory than have been recognized. Attempts to recommend the book to modern readers have missed the point that Burton, more clearly than other seventeenth century writers on melancholy, sees traumatic loss of attachment figures, status symbols and personal health as predisposing to mood disorders. In this he strongly anticipates such work as that of John Bowlby in Attachment and Loss (1969), 1973). Burton's theory is divided between the humoural physiological theory descending from Galen and the observation that loss is a frequent precursor of melancholy. He cannot reconcile the two, writing a book only poised on the verge of modernity. The Anatomy of Melancholy nevertheless very fully discusses etiological "hunches" which have found verification in recent studies of traumatic loss.

摘要

罗伯特·伯顿的《忧郁的剖析》（1621 年）很难被视为一部现代精神病学研究著作，但它包含的现代理论元素比人们所认识到的更多。向现代读者推荐这本书的尝试忽略了这样一个要点，即伯顿比其他 17 世纪论述忧郁症的作家更明确地认为，依恋对象、地位象征和个人健康的创伤性丧失是导致情绪障碍的诱因。在这一点上，他强烈预示了约翰·鲍尔比在《依恋与失落》（1969 年、1973 年）中的此类研究。伯顿的理论一方面是源自盖伦的体液生理理论，另一方面是他观察到丧失是忧郁症常见的先兆。他无法调和这两者，写出了一本仅处于现代性边缘的著作。尽管如此，《忧郁的剖析》非常全面地讨论了病因学“直觉”，这些“直觉”在近期关于创伤性丧失的研究中得到了证实。