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[当前精神病学框架中心理病理学的语言与科学地位问题]

[The problem of the linguistic and scientivic position of psychopathology in the framework of current psychiatry].

作者信息

Dieckhöfer K

出版信息

Schweiz Arch Neurol Neurochir Psychiatr. 1976;118(1):137-46.

PMID:981973
Abstract

An attempt has been made to explain on the one hand the significance of the psychopathological terminology. In contrast to the "dynamic psychiatry", where the language has preponderantly an anticipating, finalizing character with regard to the therapeutical process, it is here being made clear that the cognition of the full existence requires a defined analysis in case of a psychic distrubance. A conceivable aspiration for orderliness thus opens the way to impartial objectiveness. To a special extent the psychiatrist here appears to be obliged to the word itself, particularly within the framework of transcultural psychiatric research, that is, both in regard to philosophical and cultural-historical conditions. The figurative and symbolic character of the language seems to be necessary in psychopathology to make clear the existence of a psychopathological state of mind for lack of another system of definition. On the other hand, it should be shown that also psychopathology - without being subjected to foreign infiltration of a philosophysing medical doctrine - must be embedded in the philosophical way of thinking, if it will not evade an answer to the all important question of a finiteness or infiniteness of man beyond all positive ways of thinking by the fact of the psychophysical problems amid its science and the unique irrationality thereof.

摘要

一方面,人们试图解释精神病理学术语的意义。与“动力精神病学”不同,在“动力精神病学”中,语言在治疗过程方面主要具有预期性和终结性特征,而在此要明确的是,对于精神障碍,对其完整存在的认知需要进行明确的分析。因此,一种可想象的对有序性的追求为公正的客观性开辟了道路。在特殊程度上,精神科医生在这里似乎要依赖于词语本身,特别是在跨文化精神病学研究的框架内,也就是说,在哲学和文化历史条件方面都是如此。由于缺乏另一种定义系统,语言的比喻和象征特征在精神病理学中似乎是必要的,以便阐明精神病理状态的存在。另一方面,应该表明,如果精神病理学不想通过其科学中身心问题这一事实以及其独特的非理性,回避对超越所有实证性思维方式的人的有限性或无限性这一至关重要问题的回答,那么它也必须以哲学思维方式为基础,而不受思辨性医学教义的外来渗透。

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