Cahn T
Kantonale Psychiatrische Klinik, Liestal.
Schweiz Arch Neurol Psychiatr (1985). 1995;146(3):109-14.
In an article on principles it is shown that violence plays a significant part in psychiatry: The patients bring violence into the psychiatric institution as a symptom as well as an origin of their disorders. The institution itself can again not be free of structural violence. Add to this a resonance in the personal aggressive emotions of the professionals. In this way violence becomes an element of the psychiatric profession. In the centre of this appears the specific competence of the psychiatrist to judge about the ability of judgement ("reality-control") of other people in an authoritarian manner. This competence which cannot be eliminated from the psychiatric work gives power and has a latent totalitarian aspect. Thus taking over the responsibility to limit the violence that is set free through psychic disorders we have to limit this responsibility in the same time.
在一篇关于原则的文章中表明，暴力在精神病学中起着重要作用：患者将暴力作为症状以及其疾病的根源带入精神病院。而机构本身也无法摆脱结构性暴力。此外，专业人员个人的攻击性情绪也会产生共鸣。这样一来，暴力就成为了精神病学专业的一个元素。其中核心的是精神科医生以专制方式判断他人判断能力（“现实控制”）的特定能力。这种无法从精神病学工作中消除的能力赋予了权力，并且具有潜在的极权主义方面。因此，在承担起限制因精神障碍而释放出的暴力的责任时，我们同时也必须限制这种责任。
