Miéville C
Schweiz Arch Neurol Neurochir Psychiatr. 1979;125(2):187-91.
The author traces the prestigious history of the Burghölzli, cradle of Swiss psychiatry. He also describes the outstanding role played by Zurich as the city in which integration took place between the developing psychiatry, psycho-analysis, psychodynamics and biological research. The author shows how psychiatry, which had been faced with the mechanistric and philosophical dilemma of an epoch, could disengage from the dangers of a reductive approach thanks to Freud's influence, as well as the knowledge produced by biological and psychopathological discoveries. A new equilibration was, thus, found and a multidimensional model came into being. Today psychiatrists may choose to become either clinicians, or psychoanalysts, or devote themselves to research. Contract has become essential as well as the recognition of these different domains, this in order to improve the understanding of mental disorder.
作者追溯了瑞士精神病学摇篮——布格赫尔茨利医院久负盛名的历史。他还描述了苏黎世所发挥的杰出作用，苏黎世是发展中的精神病学、精神分析、精神动力学和生物学研究实现融合的城市。作者展示了曾面临一个时代的机械论和哲学困境的精神病学，如何借助弗洛伊德的影响以及生物学和精神病理学发现所产生的知识，摆脱还原论方法的危险。于是，找到了一种新的平衡，一个多维模型应运而生。如今，精神科医生可以选择成为临床医生、精神分析师，或者投身于研究。为了增进对精神障碍的理解，契约以及对这些不同领域的认可变得至关重要。
