Brüne M
Zentrum für Psychiatrie und Psychotherapie, Ruhr-Universität Bochum.
Fortschr Neurol Psychiatr. 1998 Jul;66(7):296-302. doi: 10.1055/s-2007-995266.
Darwin's evolutionary theory was the starting point for ethology, associated with an impact on scientific psychiatry. Psychiatry and ethology have common scientific and methodological prerequisites: inductive and deductive methods and "gestalt theory" as a basis for observing and describing behaviour patterns with subsequent causal analysis. There have been early endeavours to anchor ethological thinking in psychiatry but this tendency did not prevail for the following reasons: on the one hand, the methodology of ethology was immature or not applicable to man, whereas on the other hand the dominating experiential phenomenological school of Karl Jaspers and Kurt Schneider stressed the privileged position of human thinking, perception, and feeling. These fundamental categories of human existence did not appear amenable to any causal ethological analysis. Psychiatry and evolutionary biology were linked in an atrocious manner during the Nazi regime, both being abused for propaganda purposes and genocide. More recently, there is a "reconciliation" of both disciplines. In psychiatric nosology, operational, behaviour-oriented diagnostic systems have been introduced; ethology has opened up for theories of learning; new subsections like human ethology and sociobiology have evolved. The seeming incompatibility of (behavioural) biological psychiatry and experiential phenomenological psychopathology may be overcome on the basis of Konrad Lorenz' evolutionary epistemology. The functional analysis of human feeling and behaviour in psychotic disorders on the basis of Jackson's theory of the evolution and dissolution of the nervous system may serve as an example. The significance of an "ethological psychiatry" for diagnostic and therapeutical processes of psychiatric disorders derive from prognostic possibilities and the analysis of non-verbal communication in therapist-patient-interactions, but have not yet been systematically investigated.
达尔文的进化论是动物行为学的起点,对科学精神病学产生了影响。精神病学和动物行为学有共同的科学和方法论前提:归纳和演绎方法以及“格式塔理论”,以此为基础观察和描述行为模式,并进行后续的因果分析。早期曾有将动物行为学思维引入精神病学的尝试,但这种趋势并未盛行,原因如下:一方面,动物行为学的方法论不成熟或不适用于人类;另一方面,卡尔·雅斯贝尔斯和库尔特·施耐德占主导地位的经验现象学流派强调人类思维、感知和情感的特殊地位。人类存在的这些基本范畴似乎不适合进行任何因果性的动物行为学分析。在纳粹政权期间,精神病学和进化生物学以一种恶劣的方式联系在一起,两者都被用于宣传目的和种族灭绝。最近,这两个学科出现了“和解”。在精神病学分类学中,引入了操作性的、以行为为导向的诊断系统;动物行为学已向学习理论开放;像人类行为学和社会生物学这样的新分支已经发展起来。基于康拉德·洛伦兹的进化认识论,(行为)生物精神病学和经验现象学精神病理学之间表面上的不相容性可能会被克服。基于杰克逊的神经系统进化与解体理论对精神障碍中人类情感和行为进行功能分析就是一个例子。“动物行为学精神病学”在精神障碍诊断和治疗过程中的意义源于预后可能性以及治疗师 - 患者互动中对非语言交流的分析,但尚未得到系统研究。