Dreyfuss C
Schweiz Arch Neurol Neurochir Psychiatr. 1979;125(1):79-112.
If in the final analysis the value of the projected treatment can only be considered relative to results obtained by therapy which it has motivated, would it not be possible as implied to assure from the very beginning its effects? The author's research based on statistical and clinical analysis of 233 files drawn up by the Policlinique psychiatrique de Lausanne, between 1967 and 1975, allows an affirmative reply. And if on the one hand this work goes as far as to relativise or even to negate the capacities of the therapist (a therapist considered mediocre obtaining almost identical results to one who is not seen as such), and on the other to show that all the inconstant elements studied are no longer likely to be mastered by the medical prerogatives alone, the latter is not put into doubt but simply becomes better adjusted to prevailing socio-cultural conditions.
如果归根结底,所规划治疗的价值只能相对于由其引发的治疗所获得的结果来考量,那么如文中所暗示的,从一开始就确保其效果是否可能呢?作者基于对洛桑精神病诊疗所1967年至1975年间所拟定的233份档案进行的统计和临床分析开展的研究给出了肯定的回答。一方面,这项研究甚至使治疗师的能力相对化乃至否定(一位被认为平庸的治疗师取得了与一位未被如此看待的治疗师几乎相同的结果),另一方面表明所有所研究的不稳定因素不再可能仅靠医学特权来掌控,医学特权并未受到质疑,只是更好地适应了当时的社会文化状况。