Dawson P J
Psychiatric Nursing Research Institute, Royal Park Hospital, Melbourne, Victoria, Australia.
J Adv Nurs. 1994 Oct;20(4):587-96. doi: 10.1046/j.1365-2648.1994.20040587.x.
The biological model has become the touchstone for our thinking on mental disorder. The success of this model has relegated opposing views to the sidelines. Philosophers have been considering the nature of mind for well over 2500 years, and their speculations may provide a useful antidote to the creeping reductionism and materialism inherent in simple biology. The emphasis in philosophical theories is on the nature of the mental and the structuring role of the mind in our construction of reality. This paper focuses on three philosophers, Kant, Heidegger and Husserl, and their contribution to our understanding of the nature of psychopathology. The biological theory is re-examined from the differing perspectives offered, and some of the assumptions on which it is based are subjected to criticism. The emphasis, found in the philosophical theories, on the mental as opposed to the physiological aspects of the mind, is considered to be more germane to the practical and therapeutic concerns of those who must deal with the dis-ease of mental disorder.
生物学模型已成为我们思考精神障碍问题的试金石。该模型的成功使反对观点退居次要地位。两千五百多年来,哲学家们一直在思考心智的本质,他们的思索或许能有效对抗简单生物学中固有的、逐渐蔓延的还原论和唯物主义。哲学理论强调的是心智的本质以及心智在我们构建现实过程中的建构作用。本文聚焦于三位哲学家——康德、海德格尔和胡塞尔,以及他们对我们理解精神病理学本质所做的贡献。我们从他们提供的不同视角重新审视生物学理论,并对其某些基本假设提出批评。哲学理论中对心智的心理层面而非生理层面的强调,被认为与那些必须应对精神障碍疾病的人的实际和治疗关切更为相关。