Bentall R P, Pilgrim D
Department of Clinical Psychology, University of Liverpool, UK.
Br J Med Psychol. 1993 Mar;66(1):69-76. doi: 10.1111/j.2044-8341.1993.tb01727.x.
In this article, Szasz's analysis of 'crazy talk' is considered in the context of his wider critique of psychiatric theory. We argue that Szasz has performed an important service by drawing attention to psychiatric prejudice regarding the causes of abnormal behaviour, and by pointing to the role of values in psychiatric decision making. However, Szasz may be criticized for his oversimple analysis of the concept of 'illness' and for his failure to recognize that values are central to all clinical decision making, including the diagnosis of physical illness. In the light of these criticisms we identify important weaknesses in his arguments about the incoherent speech of psychiatric patients.
在本文中，萨斯对“疯话”的分析是在他对精神病学理论更广泛批判的背景下进行考量的。我们认为，萨斯通过提请人们注意精神病学对异常行为成因的偏见，并指出价值观在精神病学决策中的作用，做出了重要贡献。然而，萨斯可能会因其对“疾病”概念的过度简化分析，以及未能认识到价值观是所有临床决策（包括身体疾病的诊断）的核心而受到批评。鉴于这些批评，我们指出了他关于精神病患者言语不连贯的论点中的重要缺陷。
