Berrios G E
Department of Psychiatry, University of Cambridge, UK.
Compr Psychiatry. 1993 Jul-Aug;34(4):213-20. doi: 10.1016/0010-440x(93)90001-k.
The philosophical doctrine known as phenomenology is believed by many to have provided during the early 20th century the conceptual basis of the new descriptive language of psychiatry, the very language that made possible the development of systems such as the DSM-III-R. To ascertain whether this is in fact the case is essential to the solution of technical problems affecting current psychopathological descriptions. This report argues against the above-mentioned belief, and suggests that the alliance between phenomenology and descriptive psychopathology was just a marriage of convenience, and that it was Karl Jaspers who made it appear as if his own views were based on Husserlian phenomenology. Indeed, a comparison of the clinical meaning and usage of mental symptoms before and after 1913 shows that Jaspers borrowed a great deal from 19th-century alienists, and that calling his views phenomenological added little to their meaning.
许多人认为,20世纪初被称为现象学的哲学学说为精神病学新的描述性语言提供了概念基础,正是这种语言使得诸如《精神疾病诊断与统计手册》第三版修订本(DSM-III-R)这样的体系得以发展。确定实际情况是否如此对于解决影响当前精神病理学描述的技术问题至关重要。本报告反对上述观点,并认为现象学与描述性精神病理学之间的联盟只是一种权宜之计,而且是卡尔·雅斯贝尔斯让他自己的观点看起来好像基于胡塞尔的现象学。事实上,对1913年前后精神症状的临床意义和用法进行比较表明,雅斯贝尔斯大量借鉴了19世纪的精神病学家的观点,称他的观点为现象学并没有增加多少实质意义。