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[评估人类精神病学的现状]

[Evaluating the current status of anthropologic psychiatry].

作者信息

Schmidt-Degenhard M

机构信息

Psychiatrische Universitätsklinik Heidelberg.

出版信息

Fortschr Neurol Psychiatr. 1997 Oct;65(10):473-80. doi: 10.1055/s-2007-996353.

Abstract

Phenomenological psychiatry examines the variety of psychiatric diseases as regular modifications of human feeling tone experience and behaviour, which can be derived approximately from the nature of man as defined philosophically, Interdisciplinary self-conception of phenomenological psychiatry as a science calls for a constant critical dialogue with the philosophy of man and other disciplines of the humanities. The point of departure of phenomenological psychiatry is the mental or affective illness of the individual patient, with which the psychiatrist is acquainted, and reflects in interpersonal encounters in such a way that individual case studies are of central importance in this area of studies. From a methodological point of view two approaches are to be differentiated within the field of research in phenomenological psychiatry: 1. The phenomenological approach is concerned with the analysis of specific patterns of disturbance of the transcendental organisation of psychotic subjectivity. 2. The interpretative approaches are again divided into the so called "Daseinsanalyse" as a hermeneutic access to the inner biography and "Weltanschauung" of the psychiatric patient as well as the attempts of understanding the meaning of psychotic forms of experience. In this context a survey of the current fields of research of phenomenological psychiatry is given which aims at a deeper understanding of the situation of psychiatric patients and which claims to have a strong relevance for therapy. The relevance of such a phenomenological approach for current psychiatry lies in a broadening and sophistication of our experience in clinic and practice. Its main interest lies in the concentration on the patient as an individual and on the existential dimension of forms of mental and emotional diseases.

摘要

现象学精神病学将各种精神疾病视为人类情感体验和行为的常规变化,这些变化大致可从哲学所定义的人的本质推导而来。现象学精神病学作为一门科学的跨学科自我概念要求与人类哲学和其他人文学科不断进行批判性对话。现象学精神病学的出发点是个体患者的精神或情感疾病,精神科医生熟悉这种疾病,并在人际接触中有所体现,因此个体案例研究在这一研究领域至关重要。从方法论的角度来看,在现象学精神病学的研究领域内可以区分出两种方法:1. 现象学方法关注对精神病患者主体性先验组织的特定干扰模式的分析。2. 解释性方法又分为所谓的“此在分析”,即作为一种诠释学途径来探究精神病患者的内在传记和“世界观”,以及理解精神病体验形式意义的尝试。在此背景下,对现象学精神病学当前的研究领域进行了综述,旨在更深入地理解精神病患者的状况,并声称与治疗密切相关。这种现象学方法对当前精神病学的相关性在于拓宽和深化我们在临床和实践中的经验。其主要兴趣在于关注作为个体的患者以及精神和情感疾病形式的生存维度。

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