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阿拉伯人对精神障碍分类的观点:历史概述及与当代分类的比较

Arabic Perspectives on Classification of Psychotic Disorders: A Historical Overview and Comparison With Contemporary Classifications.

作者信息

Shahpesandy Homayun

机构信息

Great Oaks Inpatient Services, Doncaster and South Humber NHS Foundation Trust, DN4 8QN Rotherham, UK.

出版信息

Alpha Psychiatry. 2025 Jun 10;26(3):43494. doi: 10.31083/AP43494. eCollection 2025 Jun.

Abstract

This paper explores the perspectives of Arabic-scribing medical schools on the classification of psychotic disorders of the Middle Ages, the so-called "Islamic Golden Age". Through an in-depth analysis of seminal texts in Arabic medical literature, including works by renowned scholars such as Tabari, Razi, Avicenna, and others, this paper elucidates the historical development of psychiatric taxonomy in the Arabic medical tradition. By examining the representations of "junun" ("madness") or psychoses in these texts and comparing them with earlier European and current classifications, we aim to highlight the unique contributions of Arabic-scribing scholars to the field of clinical psychiatry. The Arabic taxonomy divides "junun" ("insanity") into three major categories of (1) permanent insanities ("al-junun al-thābet"), (2) symptomatic illnesses ("a'rāz tābea-tul amrāz"), and (3) reactive. Arabic medical schools consider "insanity" as a primary brain pathology albeit with multifactorial etiology-a concept formulated by early Greco-Roman medicine, developed by Muslim physicians, and re-invented by Griesinger in the 19th century-known as the "organic model" of mental illnesses.

摘要

本文探讨了中世纪精神病性障碍分类方面阿拉伯语著述的医学院校的观点,即所谓的“伊斯兰黄金时代”。通过对阿拉伯医学文献中重要文本的深入分析,包括塔巴里、拉齐、阿维森纳等著名学者的著作,本文阐明了阿拉伯医学传统中精神科分类法的历史发展。通过研究这些文本中“junun”(“疯狂”)或精神病的表述,并将其与早期欧洲及当前的分类进行比较,我们旨在突出阿拉伯语著述学者对临床精神病学领域的独特贡献。阿拉伯分类法将“junun”(“精神错乱”)分为三大类:(1)永久性精神错乱(“al-junun al-thābet”),(2)症状性疾病(“a'rāz tābea-tul amrāz”),以及(3)反应性精神错乱。阿拉伯医学院校将“精神错乱”视为一种原发性脑部病变,尽管其病因是多因素的——这一概念由早期希腊罗马医学提出,经穆斯林医生发展,并在19世纪由格赖辛格重新提出——即所谓的精神疾病“器质性模型”。

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