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反精神病学的科学基础。

The scientific foundation of anti-psychiatry.

作者信息

van Praag H M

出版信息

Acta Psychiatr Scand. 1978 Aug;58(2):113-41. doi: 10.1111/j.1600-0447.1978.tb06927.x.

Abstract

Anti-psychiatry has exerted a substantial influence on the thoughts of workers in the field of mental hygiene; on those of the psychiatrically trained, but even much more on those without psychiatric training. Consequently it seemed important to me to investigate the strength of the foundation of this school of thought. This has been the objective of this study. The point of crystallization of anti-psychiatry is the labelling theory on the origin of deviant behaviour. The scientific status of anti-psychiatry stands or falls with that of the labelling theory. Since this theory has not been formulated in verifiable hypotheses, I ventured to formulate "theses", and then tested these against empirical obtained data. The results of this study were largely negative. The empirical material does not support the labelling theory, and in many cases even contradicts it. Consequently anti-psychiatry--as a model to explain the development of psychological disorders--has not a leg to stand on. The labelling theory has had great merits as a "sensitizing theory". It has given momentum to innovative tendencies in psychiatry. Now that it has proved to be untenable on its principal points, however, it should be abandoned. It has become a rubber check, which has no scientific buying-power.

摘要

反精神病学对心理卫生领域工作者的思想产生了重大影响;对那些接受过精神病学培训的人来说是这样,而对那些没有接受过精神病学培训的人影响更大。因此,对我来说,研究这一思想流派的理论基础有多坚实显得很重要。这就是本研究的目的。反精神病学的核心观点是关于越轨行为起源的标签理论。反精神病学的科学地位与标签理论的科学地位休戚相关。由于这一理论尚未以可验证的假设形式表述出来,我冒昧地提出“论点”,然后对照实证数据进行检验。这项研究的结果大多是否定的。实证材料并不支持标签理论,在很多情况下甚至与之相矛盾。因此,作为一种解释心理障碍发展的模式,反精神病学毫无立足之地。标签理论作为一种“敏感化理论”有很大功绩。它推动了精神病学领域的创新趋势。然而,既然它在主要观点上已被证明站不住脚,就应该被摒弃。它已变成一张空头支票,没有科学价值。

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