A modest proposal for another phenomenological approach to psychopathology.
A modest proposal for another phenomenological approach to psychopathology.
复制标题
对精神病理学的另一种现象学方法的温和建议。
作者：
P. Mullen
1912年，卡尔·雅斯贝尔斯发表了一篇题为“精神病理学的现象学方法”的文章。这篇文章和他随后的著作《普通精神病理学》对一般精神病学，特别是精神病疾病分类学的发展产生了深远的影响。现行的《精神疾病诊断和统计手册》和《国际疾病分类》都至少部分地反映了这一遗产。本文将论证，雅斯贝尔斯的描述性精神病理学已经逐渐转变为一幅漫画，用权威代替了探究，用简单化代替了微妙。我们留下的分类系统强加的具体化类别越来越不符合临床现实，并且越来越脱离科学探究产生的数据。回到现象学方法，尽管存在矛盾，但可能会为临床和研究方法开辟道路，使我们摆脱当前阻碍我们进步的正统观念。
In 1912, Karl Jaspers published an article entitled "The Phenomenological Approach to Psychopathology." This and his subsequent text, General Psychopathology, was to exert a profound influence on the development of psychiatry in general and psychiatric nosology in particular. The current Diagnostic and Statistical Manual of Mental Disorders and International Classification of Diseases both reflect, at least in part, that legacy. This article will argue that the descriptive psychopathology of Jaspers has been gradually transformed into a caricature which has substituted authority for enquiry and simplification for subtlety. We have been left with classificatory systems which impose reified categories increasingly at variance with clinical reality and increasingly divorced from the data generated by scientific enquiry. Returning to the phenomenological method, despite its contradictions, may open the way to clinical and research approaches which free us from the current straight jacket of orthodoxy which is impending our progress.