Psychosis Without Meaning: Creating Modern Clinical Psychiatry, 1950 to 1980.
Psychosis Without Meaning: Creating Modern Clinical Psychiatry, 1950 to 1980.
复制标题
DOI：
10.1007/s11013-021-09744-3
复制
发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Braslow JT
中科院分区：
文献类型：
--
作者：
Braslow JT
在过去的50年里，美国精神科医生已经接受精神药物作为他们的主要治疗干预。这在他们治疗患有精神障碍如精神分裂症的患者时尤其如此。这种关注导致越来越忽视患者的主观生活经历，生活史和社会背景。美国精神病学的这种转变突然发生在20世纪60年代末和70年代。我的文章着眼于1950年至1980年期间，这些重大转变在州立医院精神科医生的日常临床实践中如何发挥作用。使用临床病例记录从加州州立医院，我编年史的方式制度和意识形态的力量塑造了精神病患者的临床护理。我指出，在20世纪60年代后期，精神病学家对主观和社会的关注突然破裂，取而代之的是专注于一组狭窄的药物反应体征和症状的临床视野。在美国的生活和社会政策中发生了重大的政治、经济和意识形态转变，为这种日益以药物为中心的临床精神病学提供了背景，这种临床观点在很大程度上使精神病医生对患者的社会和心理痛苦视而不见。
Over the last fifty years, American psychiatrists have embraced psychotropic drugs as their primary treatment intervention. This has especially been the case in their treatment of patients suffering from psychotic disorders such as schizophrenia. This focus has led to an increasing disregard for patients’ subjective lived-experiences, life histories, and social contexts. This transformation of American psychiatry occurred abruptly beginning in the late 1960s and 1970s. My essay looks the ways these major transformations played themselves out in everyday clinical practices of state hospital psychiatrists from 1950 to 1980. Using clinical case records from California state hospitals, I chronicle the ways institutional and ideological forces shaped the clinical care of patients with psychotic disorders. I show there was an abrupt rupture in the late 1960s, where psychiatrists’ concerns about the subjective and social were replaced by a clinical vision focused on a narrow set of drug-responsive signs and symptoms. Major political, economic, and ideological shifts occurred in American life and social policy that provided the context for this increasingly pharmacocentric clinical psychiatry, a clinical perspective that has largely blinded psychiatrists to their patients’ social and psychological suffering.
登录
查看更多内容
DOI：
10.1146/annurev-clinpsy-050718-095514
发表时间：
2019-01-01
期刊：
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 15
影响因子：
--
作者：
Braslow, Joel T.;Marder, Stephen R.
通讯作者：
Marder, Stephen R.
影响因子：
10.6
作者：
Andreasen, Nancy C.;Pressler, Marcus;Nopoulos, Peg;Miller, Del;Ho, Beng-Choon
通讯作者：
Ho, Beng-Choon
影响因子：
0.5
作者：
Braslow, Joel T;Starks, Sarah Linsley
通讯作者：
Starks, Sarah Linsley
DOI：
10.2307/3349722
发表时间：
1979-01-01
期刊：
MILBANK MEMORIAL FUND QUARTERLY-HEALTH AND SOCIETY
影响因子：
--
作者：
CLARKE, GJ
通讯作者：
CLARKE, GJ
影响因子：
7.3
作者：
EPSTEIN, LJ;MORGAN, RD
通讯作者：
MORGAN, RD