Mental Health's Stalled (Biological) Revolution: Its Origins, Aftermath & Future Opportunities

IF 2.1 3区社会学 0 HUMANITIES, MULTIDISCIPLINARY

Daedalus Pub Date : 2023-11-01 DOI:10.1162/daed_a_02037

Anne Harrington

引用次数: 0

Abstract

Abstract The 1980s, by common consensus, saw a big and remarkably rapid pivot away from previously dominant psychoanalytic and social science perspectives in American psychiatry and toward a so-called medical model foregrounding biology and the brain. The standard understanding is that this happened because, after years of wandering lost in a Freudian desert, the field had finally gained some fundamental new biological understandings of mental illness. The standard understanding is wrong. Nothing of sudden significance had happened on the biological front. There had been no major scientific or therapeutic breakthroughs. Why, then, did the field really pivot? This essay aims to explain. The answer is important, not least because choices made back then have directly shaped the fraught world of psychiatry with which we live today.

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心理健康停滞不前的（生物）革命：其起源、后果和未来机遇

摘要 20世纪80年代，在美国精神病学界，人们一致认为，从以前占主导地位的精神分析和社会科学视角，转向以生物学和大脑为重点的所谓医学模式，是一个巨大而又异常迅速的转变。标准的理解是，之所以会出现这种情况，是因为在弗洛伊德式的沙漠中迷失徘徊多年之后，这个领域终于对精神疾病有了一些新的基本生物学认识。标准的理解是错误的。在生物学方面并没有发生什么突如其来的重大事件。在科学或治疗方面也没有重大突破。那么，为什么该领域会出现真正的转折呢？本文旨在对此做出解释。答案非常重要，尤其是因为当时的选择直接塑造了我们今天这个充满危机的精神病学世界。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Daedalus Multiple-

CiteScore

3.50

自引率

0.00%

发文量

期刊介绍： Daedalus was founded in 1955 as the Journal of the American Academy of Arts and Sciences. It draws on the enormous intellectual capacity of the American Academy, whose members are among the nation"s most prominent thinkers in the arts, sciences, and humanities. Each issue addresses a theme with authoritative essays on topics such as judicial independence, reflecting on the humanities, the global nuclear future, the challenge of mass incarceration, the future of news, the economy, the military, and race.