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[今日神经精神病学(作者译)]

[Neuropsychiatry today (author's transl)].

作者信息

Scheid W

出版信息

MMW Munch Med Wochenschr. 1981 Jun 19;123(25):1043-8.

PMID:6789172
Abstract

Neurology and psychiatry are combined in the easily misunderstandable term "Neuropsychiatry" as equal ranking sister disciplines. Neurology with its rectilinear development and the gain in important auxiliary methods enjoys general high respect. It is quite different with psychiatry. It is tainted with the events of the National Socialist domination. Its logical therapeutic methods are associated with inhumanity. Etiology and pathogenesis of the "endogenous" psychoses are still veiled in darkness. This gap in knowledge, detrimental to the prestige of psychiatry, is filled with theories, hypotheses and speculations. An extensively popularized psychology questions some concepts of a classical psychiatry wrongly described as conservative. Such uncertainty is alive even in the ranks of psychiatrists, to the detriment of their responsibility. Psychiatry must serve the care of the individual patient, renouncing all possible temptations. Some success can be expected from the "out-patient services" but this demands professional knowledge and critical ability besides activity.

摘要

神经病学和精神病学被合并在容易引起误解的术语“神经精神病学”中,作为同等地位的姐妹学科。神经病学凭借其直线式发展以及重要辅助方法的增加而广受尊敬。精神病学的情况则大不相同。它因纳粹统治时期的事件而蒙羞。其合乎逻辑的治疗方法与不人道联系在一起。“内源性”精神病的病因和发病机制仍笼罩在迷雾之中。这种知识上的空白有损精神病学的声誉,于是充斥着各种理论、假设和推测。一门广泛普及的心理学对经典精神病学中一些被错误描述为保守的概念提出了质疑。即使在精神病医生队伍中,这种不确定性也依然存在,这有损于他们的责任感。精神病学必须致力于对个体患者的护理,摒弃一切可能的诱惑。“门诊服务”有望取得一些成效,但这除了需要积极行动外,还需要专业知识和批判性能力。

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