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[现代精神病学批判——反抗还是回归传统?(作者译)]

[Modern criticism of psychiatry -- rebellion or return to tradition? (author's transl)].

作者信息

Glatzel J

出版信息

Fortschr Neurol Psychiatr Grenzgeb. 1976 Feb;44(2):51-63.

PMID:767236
Abstract

Modern criticism of psychiatry started about 10 years ago with violent attacks on the ways in which psychiatric patients were handled in practice. In its attempt to shatter rigid structures and to adopt attitudes, wellknown for many years, for therapeutic action, this criticism remains in an historical scientific tradition which can be traced back to the beginning of this century. With the advance of sociologic thinking and the adoption of radical sociogenetic demands, mainly in the Anglo-Saxon literature, this criticism finds its own feet towards the end of the sixties as a kind of antipsychiatry. It obtains its leverage in the lack of differentiation between diagnosis and psychopathologic description in psychiatry ignoring like Birnbaum the "essential" history of psychiatric science dating from the middle of the 19th century, it returns to the psychiatry of late romanticism. It assesses the place of psychiatry within the range of sciences. In a similar manner it opposes the detached, individual-psychologic, approach or classical psychopathology and sees the various psychopathologic data as forms of a deviation in the sense of symbolic interactionism. Modern criticism of psychiatry could, therefore, mark the start of a developing interactional psychopathology which would certainly not have to compete with traditional psychopathology. It could take its place as an independent approach on equal terms with existing trends. A precondition would be a disnissal of a- and antihistoric basic tendencies which alone would make possible the necessary re-interpretation with the developments up to date and with present-day achievements.

摘要

现代对精神病学的批评始于大约10年前,当时对精神病患者实际治疗方式进行了猛烈抨击。这种批评试图打破僵化结构并采取多年来为人熟知的治疗行动态度,它仍处于一种可追溯到本世纪初的历史科学传统之中。随着社会学思维的发展以及激进社会成因需求的出现,主要是在盎格鲁 - 撒克逊文献中,这种批评在60年代末以一种反精神病学的形式站稳了脚跟。它利用了精神病学中诊断与精神病理学描述缺乏区分这一点,忽视了像比尔鲍姆那样可追溯到19世纪中叶的精神病学“本质”历史,回到了晚期浪漫主义精神病学。它评估了精神病学在科学范围内的地位。同样,它反对脱离实际的、个体心理学的方法或经典精神病理学,将各种精神病理学数据视为符号互动主义意义上的偏差形式。因此,现代对精神病学的批评可能标志着一种发展中的互动精神病理学的开端,这种精神病理学肯定不必与传统精神病理学竞争。它可以作为一种与现有趋势平等的独立方法占据一席之地。一个前提条件是摒弃非历史和反历史的基本倾向,只有这样才有可能根据最新发展和当今成就进行必要的重新解释。

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