Bloch S
J Med Ethics. 1978 Sep;4(3):126-31. doi: 10.1136/jme.4.3.126.
This paper was given as a talk at the Venice Biennale on 9 December 1977. It was part of a symposium on "The Freedom of Science--Problems of Science of Scientists in Eastern Europe". Dr Bloch details some of the problems of psychiatry and its vulnerability to improper use and thus the dilemmas which must ensue in day to day practice. He looks at psychiatry in the USSR and the system within which Soviet psychiatrists must work. The Communist Party and career advancement for psychiatrists would appear to be closely related and it is suggested that, in all probability, the majority of psychiatrists are as perturbed at the misuse of their profession as their Western colleagues, but act compliantly out of fear. Severe punishments have been imposed on those psychiatrists who have dared to speak out against the régime and the system as operated. Dr Bloch concludes by urging Western psychiatrists to do all they can to help their Soviet colleagues to initiate a return to an independent and automous psychiatric profession.
本文是1977年12月9日在威尼斯双年展上的一次演讲内容。它是关于“科学的自由——东欧科学家的科学问题”研讨会的一部分。布洛赫博士详细阐述了精神病学的一些问题，以及它容易被不当利用的情况，进而说明了日常实践中必然会出现的困境。他审视了苏联的精神病学以及苏联精神病医生必须在其中工作的体系。共产党与精神病医生的职业晋升似乎紧密相关，有人认为，很可能大多数精神病医生和他们的西方同行一样，对自己职业的滥用感到不安，但出于恐惧而顺从行事。那些敢于公开反对政权及现行体系的精神病医生受到了严厉惩罚。布洛赫博士最后敦促西方精神病医生尽一切所能帮助他们的苏联同行，使其回归到独立、自主的精神病学专业。
