Sachdev P
Neuropsychiatric Institute, Prince Henry Hospital, New South Wales, Australia.
Aust N Z J Psychiatry. 1996 Apr;30(2):165-70. doi: 10.3109/00048679609076090.
A critical examination of the term 'organic' in psychiatry and its proposed alternatives.
An examination of the published literature on the concepts of 'organicity' in mental syndromes, and of the mind-brain problem.
The term 'organic' presents a number of problems, some of which can be described as those of historical schism, duality, method, practice, scholasticism and semantics. The currently available alternatives are not without their difficulties, and examples are provided.
Whether the term 'organic' is retained or replaced, we are condemned to an unsatisfactory position while we await a radically new paradigm to understand the role of neurobiological and psychosocial factors in psychiatric disorders.
对精神病学中“器质性”这一术语及其提议的替代词进行批判性审视。
查阅已发表的关于精神综合征中“器质性”概念以及心脑问题的文献。
“器质性”这一术语存在诸多问题，其中一些可描述为历史分裂、二元性、方法、实践、经院哲学和语义学方面的问题。当前可用的替代词也并非没有困难，并给出了示例。
无论“器质性”这一术语是保留还是被取代，在等待一个全新范式来理解神经生物学和社会心理因素在精神障碍中的作用期间，我们都将处于一种不尽人意的境地。
