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C.G.荣格1904年提出的“躁狂情绪”概念:对成人形式注意力缺陷多动障碍病症的早期贡献?

C. G. Jung's Concept of "Manic Mood" From 1904: An Early Contribution to the Disorder of the Adult Form of ADHD?

作者信息

Müller Steffen, Strauß Maria, Steinberg Holger

机构信息

Department of Psychiatry and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany.

Research Center for the History of Psychiatry, Department of Psychiatry and Psychotherapy, Medical Faculty of the University of Leipzig, Leipzig, Germany.

出版信息

J Atten Disord. 2025 Jun;29(8):645-655. doi: 10.1177/10870547251319077. Epub 2025 Feb 22.

Abstract

BACKGROUND

Adult ADHD has increasingly become a focus in adult psychiatry. Despite well-established diagnostic criteria and specific therapeutic approaches, contemporary discussions often dismiss ADHD as a "fad." This study examines Carl Gustav Jung's 1904 concept of "manic mood" and its potential alignment with the modern understanding of ADHD in adults.

OBJECTIVE

The aim of this paper is to investigate and discuss whether Jung's concept of "manic mood" can be considered part of the intellectual history of adult ADHD.

METHOD

Jung's concept of "manic mood" is analyzed and presented using the literary-historical method of "close reading," placing the analysis within the context of the early 20th-century discussion of "chronic-manic concepts." This analysis is compared with the current diagnostic criteria for adult ADHD.

RESULTS AND CONCLUSION

Jung's concept of "manic mood," described in 1904, has clear parallels to diagnostic criteria used for adult ADHD. It is conceivable that the patients presented by Jung would be diagnosed with adult ADHD today. Jung's work fits into the discussion of "chronic-manic concepts" of the early 20th century and thus makes a relevant original contribution to the nosological-diagnostic classification of forms in the spectrum of ADHD-affective disorders-personality disorders. The parallel between Jung's disease construct of "manic mood" and the current view of ADHD supports our hypothesis that the adult form of ADHD represents a consistent disease phenomenon and should therefore not be degraded as a "fad."

摘要

背景

成人注意力缺陷多动障碍(ADHD)日益成为成人精神病学的关注焦点。尽管有既定的诊断标准和特定的治疗方法,但当代的讨论常常将ADHD视为一种“时尚”而不予理会。本研究考察了卡尔·古斯塔夫·荣格1904年提出的“躁狂情绪”概念,以及它与现代对成人ADHD理解的潜在契合度。

目的

本文旨在研究和讨论荣格的“躁狂情绪”概念是否可被视为成人ADHD知识史的一部分。

方法

运用“细读”的文学历史方法对荣格的“躁狂情绪”概念进行分析和阐述,并将该分析置于20世纪初关于“慢性躁狂概念”的讨论背景之中。将这一分析与成人ADHD的现行诊断标准进行比较。

结果与结论

荣格在1904年描述的“躁狂情绪”概念与成人ADHD的诊断标准有明显的相似之处。可以想象,荣格所描述的患者如今会被诊断为成人ADHD。荣格的著作契合了20世纪初关于“慢性躁狂概念”的讨论,因而为注意缺陷多动障碍-情感障碍-人格障碍谱系中各种形式的疾病分类诊断做出了相关的原创贡献。荣格的“躁狂情绪”疾病结构与当前对ADHD的看法之间的相似性支持了我们的假设,即成人形式的ADHD代表一种连贯的疾病现象,因此不应被贬为一种“时尚”。

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