Dell P F
Fam Process. 1980 Dec;19(4):321-35. doi: 10.1111/j.1545-5300.1980.00321.x.
some, but not all, of the family theories of schizophrenia entail a shift from the Aristotelian/Cartesian/Newtonian epistemology of individual psychology to a systemic epistemology of pattern. Perhaps the most significant (and underappreciated) aspect of this epistemological shift pertains to etiology: The family theories of schizophrenia espoused by Bateson et al. and by Wynne and Singer do not claim that parents or families cause schizophrenia. The persistent failure of researchers to appreciate this has led to many fruitless studies that have sought to discover a causal link between the thought disorder and communication deviance of parents and the schizophrenia of their offspring. This paper reviews from an epistemological viewpoint the empirical literature that has attempted to assess the validity of the family theories of schizophrenia. Particular attention is given to restating and extending the epistemology of pattern within which schizophrenia occurs. The conventional psychiatric approaches to schizophrenia are shown to play an active role within the schizophrenic pattern.
一些（而非全部）精神分裂症的家庭理论需要从个体心理学的亚里士多德/笛卡尔/牛顿认识论转向模式的系统认识论。这种认识论转变或许最重要（且未得到充分重视）的方面与病因学有关：贝特森等人以及怀恩和辛格所支持的精神分裂症家庭理论并不认为父母或家庭会导致精神分裂症。研究人员一直未能认识到这一点，导致了许多毫无成果的研究，这些研究试图发现父母的思维障碍和沟通偏差与他们后代的精神分裂症之间的因果联系。本文从认识论的角度回顾了试图评估精神分裂症家庭理论有效性的实证文献。特别关注重新阐述和扩展精神分裂症发生所依据的模式认识论。传统的精神分裂症精神病学方法在精神分裂症模式中发挥着积极作用。
