Thompson K S
Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pennsylvania 15213.
Community Ment Health J. 1993 Dec;29(6):495-508. doi: 10.1007/BF00754259.
Over the last half-century progressives in community psychiatry have challenged the social order while addressing the needs of persons with psychiatric disorders. Recently, however, their vision and energy has faltered. A re-evaluation of the progressive position is essential, beginning with a review of its historical experience. Unfortunately, modern psychiatry has become increasingly ahistorical. Those histories that do exist reveal little about the experiences of progressive practice and tend to attack it from the right or from the left. There is a tremendous need to synthesize new socially-oriented histories of the progressive movement in community psychiatry.
在过去的半个世纪里,社区精神病学领域的进步人士在满足精神疾病患者需求的同时,对社会秩序提出了挑战。然而,近来他们的愿景和活力有所衰退。从回顾其历史经验入手,对进步主义立场进行重新评估至关重要。遗憾的是,现代精神病学越来越缺乏历史视角。现有的那些历史记载很少揭示进步主义实践的经验,反而倾向于从右派或左派的角度对其进行抨击。迫切需要综合编撰社区精神病学进步运动新的以社会为导向的历史。