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波兰两次世界大战之间时期精神病学中的心理治疗概念与实践。第二部分。

The notion and practice of psychotherapy in Polish psychiatry of the interwar period. Part 2.

机构信息

Cardinal Stefan Wyszynski University in Warsaw.

出版信息

Psychiatr Pol. 2024 Aug 31;58(4):721-734. doi: 10.12740/PP/174212.

Abstract

The paper further explores the development of psychotherapy in Polish psychiatry in the interwar period. Jaroszyński attempted to sketch out the idea of "emotional psychotherapy". Stryjeński organized a counseling clinic for the mentally ill, using psychotherapy as one of the means of treatment. Bilikiewicz developed oneiroanalysis - a psychotherapeutic method of dream analysis based on modifications of psychoanalysis. Gottliebowa advocated for the use of psychoanalytically influenced psychotherapy in the gynaecologist practice. Markuszewicz considered psychoanalysis the only psychotherapeutic modality aimed at unearthing the real causes of mental illnesses. Henryk Higier proposed to consider psychoanalysis practically as a method of psychotherapy and saw its heterogeneity as its advantage. Critical views on psychoanalysis as a psychotherapeutic method were delivered by Wirszubski and Mikulski. In general, psychotherapy in Polish psychiatry of the interwar period was highly influenced by psychoanalysis. Moreover, the understanding and practice of psychotherapy in public psychiatric facilities differed from that in private practice. In public psychiatric facilities, it was used mainly to deal with psychoses, so it urged clinicians to modify the classic psychoanalytic approach. In private practice, psychiatrists were dealing mainly with cases of neuroses and therefore could apply standard psychoanalytic procedures. Methods of suggestion, persuasion and hypnosis, characteristic of nineteenth-century psychotherapy, were still in use in Polish psychiatry of the interwar period. The main obstacles to the development of Polish psychotherapy in the interwar period were antisemitic attitudes contributing to hostility towards psychoanalysis, as well as the biological orientation of the majority of the Polish psychiatric society.

摘要

本文进一步探讨了两次世界大战期间波兰精神病学中心理治疗的发展。雅罗申斯基(Jaroszyński)试图勾勒出“情感心理治疗”的理念。斯特里琴斯基(Stryjeński)为精神病患者组织了咨询诊所,将心理治疗作为治疗手段之一。比利克维茨(Bilikiewicz)发展了精神分析的一种变体,即释梦心理治疗方法。戈特利布娃(Gottliebowa)提倡在妇科医生的实践中使用受精神分析影响的心理治疗。马尔库谢维奇(Markuszewicz)认为精神分析是唯一一种旨在挖掘精神疾病真正原因的心理治疗方法。亨利克·希吉尔(Henryk Higier)提议将精神分析实际上视为一种心理治疗方法,并认为其异质性是其优势。对精神分析作为心理治疗方法的批评性观点来自维尔苏布斯基(Wirszubski)和米库尔斯基(Mikulski)。总的来说,两次世界大战期间波兰精神病学中的心理治疗深受精神分析的影响。此外,公共精神病院中的心理治疗的理解和实践与私人执业中的不同。在公共精神病院,它主要用于治疗精神病,因此促使临床医生修改经典的精神分析方法。在私人诊所中,精神科医生主要处理神经症病例,因此可以应用标准的精神分析程序。暗示、说服和催眠等 19 世纪心理治疗的方法在两次世界大战期间的波兰精神病学中仍在使用。阻碍波兰心理治疗在两次世界大战期间发展的主要障碍是反犹态度导致对精神分析的敌意,以及波兰精神病学社会的大多数人具有生物学倾向。

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