[关于精神病学伦理的历史评论:19世纪的挑战]
1Institut für Geschichte und Ethik der Medizin, Universitätsklinikum Hamburg-Eppendorf, Martinstraße 52, 20246, Hamburg, Deutschland. p.schmiedebach@uke.de.
Der Nervenarzt
|May 27, 2024
概括
早期的精神病学与患者的"异性"和人道主义斗争. 尽管有理想,但父权结构和后来的生物种族主义导致了对精神病患者的污名化.
科学领域:
- 精神病学历史 精神病学历史
- 医学伦理 医学伦理
- 社会历史 历史 社会历史
背景情况:
- 1800年左右精神病学的出现提出了关于管理被认为是病态的破坏性行为的人的问题.
- 人道主义在日益增长的人权意识的背景下,成为早期精神病医生的指导原则.
研究的目的:
- 分析精神病学实践的历史演变及其从1800年到20世纪初的伦理考虑.
- 检查父权结构,科学进步和种族主义意识形态对精神疾病感知的影响.
主要方法:
- 历史来源分析 历史来源分析
- 检查精神病学信仰和实践的审查.
- 审查精神病学内部的伦理辩论.
主要成果:
- 尽管有人道主义的理想,精神病学实践在很大程度上仍在父权主义的控制下,直到20世纪初.
- 体生理学研究,实验科学和生物种族主义带来了新的伦理挑战.
- 伦理方面的考虑部分得到解决,但对精神病患者的劣等感觉仍然存在并增加.
结论:
- 早期的精神病学实践是由人道主义,父权结构和新兴科学范式的复杂相互作用所塑造的.
- 越来越多地关注生物学解释和种族主义意识形态,导致精神病患者的边缘化和污名化.
- 尽管有进展,精神病学仍在努力使其实践与不断变化的伦理标准相协调,导致精神疾病的持续值.
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