Gabbard G O
Menninger Clinic, Topeka, KS 66601-0829.
Bull Menninger Clin. 1994 Fall;58(4):427-46.
Psychological and biological components of psychiatric illness must be integrated to avoid the perils of reductionism in diagnosis and treatment. With the decline of dualism, a number of creative thinkers have conceptualized the mind-body problem in a manner that values perspectives derived from psychoanalytic thinking as well as from the neurosciences. Similarly, modern studies of the etiology and pathogenesis of major psychiatric disorders suggest that only through a sophisticated synthesis of psychosocial and genetic/biochemical points of view can causation be comprehensively understood. In light of this accumulating knowledge, the author concludes that treatment must be informed by psychotherapeutic approaches as well as by pharmacotherapy.
精神疾病的心理和生物学成分必须整合起来,以避免诊断和治疗中还原论的危害。随着二元论的衰落,一些有创造性的思想家以一种重视来自精神分析思维以及神经科学的观点的方式,对身心问题进行了概念化。同样,对主要精神障碍的病因和发病机制的现代研究表明,只有通过心理社会和基因/生化观点的复杂综合,才能全面理解病因。鉴于这些不断积累的知识,作者得出结论,治疗必须采用心理治疗方法以及药物治疗。