Baruk H
Sem Hop. 1981;57(15-16):791-4.
Modern psychiatry, born of a movement created by Pinel in France and Tuke in England, has set aside the rejection of mental patients, and centred the study of mental diseases in France on the predominance of periodic psychoses, and therefore curability. Another movement, however, arising from the discovery of biological psychiatry has focused psychiatry on schizophrenia and incurability. This is a serious and damaging error. Furthermore, the discovery of toxic causes by Moreau de Tours, and more recently, of experimental catatonia, has enabled psychopharmacology to widen etiological and therapeutic fields. Even so, psychiatry is menaced by a return to the past, perhaps to the point of rejection of mental patients, and this has been accentuated by psychoanalysis, which rejects (psychotics) in favour of neurotics, and by the concept of blocking in incurability. This regression is beginning to affect legislation, with the threat of a return to the arbitrary, and to the social decline of patients, following the recent law on the legally incapacitated.
现代精神病学诞生于法国的皮内尔和英国的图克发起的一场运动,它摒弃了对精神病人的排斥,在法国将精神疾病的研究集中于周期性精神病的主导地位,进而关注可治愈性。然而,另一场源于生物精神病学发现的运动,却将精神病学聚焦于精神分裂症和不可治愈性。这是一个严重且有害的错误。此外,莫罗·德·图尔发现了中毒原因,以及最近发现了实验性紧张症,这使得精神药理学得以拓宽病因学和治疗领域。即便如此,精神病学仍面临着回归过去的威胁,甚至可能回到排斥精神病人的地步,而精神分析学(它排斥精神病患者而青睐神经症患者)以及不可治愈性中的阻断概念加剧了这种情况。这种倒退开始影响立法,随着最近关于无行为能力者的法律出台,有回到专制状态以及患者社会地位下降的风险。