Feer H
Schweiz Arch Neurol Neurochir Psychiatr. 1977;121(1):91-6.
Emotional stress is often based on defective social conditions like social isolation or the urge for maximal efficiency in production and consumption. The improvement of these social conditions and the elimination of the resulting pathogenic stress is a political task. There is a curious and unrealistic separation of responsibilities which is justified by tradition only: the social part of the therapy is abandoned to political institutions and groups whereas the psychiatrist whose therapy should be comprehensive concerns himself with individual problems only. As he neglects the noxious social circumstances and aims entirely at the social adaptation of the patient the psychiatrist denies the defectiveness of the social conditions as they are and corroborates a system which is the true cause of numerous psychiatric disturbances.
情绪压力往往基于有缺陷的社会状况,如社会孤立或在生产与消费中追求最高效率的冲动。改善这些社会状况并消除由此产生的致病压力是一项政治任务。存在一种奇怪且不现实的责任划分,这种划分仅仅因传统而被合理化:治疗的社会部分被交给政治机构和团体,而本应进行全面治疗的精神科医生却只关注个体问题。由于忽视有害的社会环境,且完全致力于让患者适应社会,精神科医生否认当前社会状况的缺陷,从而巩固了一个正是众多精神障碍真正根源的体系。