Sachgebiete

Beschreibung:

S. 501-654; 8°. Geheftet.

Bemerkung:

Gutes Ex.; Einband etwas berieben; geringe Gebrauchsspuren. - INHALT : Editor's Notes -- Conception of Schizophrenia Within the Last Fifty Years and Today -- Manfred Bleuler (Switzerland) -- There is no specific cause of schizophrenia; both somatic and psychological factors are involved A schizophrenic inner life lies beneath the surface of healthy psychic life Since schizophrenia can be understood as a faulty development of the personality, the goal of therapy is to influ-ence a healthy development of ego and a healthy adaptation to reality -- Discussions: -- Jack Ewalt (U S A ) -- A scholarly summation of the current status of conceptions on schizophrenia, this article is a significant addition to the literature on this difficult and puzzling disorder -- K Leonhard (German Democratic Republic) -- There is not one, but several-or perhaps even many-schizophrenias Lack of progress in our knowledge is because of the many attempts to treat the schizophrenias as a single unified disease -- Eliot Slater (England) -- How can Bleuler be so sure that schizophrenia is an abstraction without validity merely because a few decades have not brought us the answers we want? His argument is founded on faulty logic and self-contradiction -- Frank Fish (England) -- Bleuler's assumption that there is a similarity between normal and schizophrenic experience is questionable, nor can I agree with Bleuler's concept that schizophrenia is a faulty development of personality -- Hans Hoff (Austria) -- It is true that the genesis of schizophrenia is multifactorial, as Bleuler describes it However, among the various states that are called "schizophrenic," there is a nuclear group which has a distinct inborn error of metabolism -- The Study of Folk Psychiatry Ari Kiev (U S A ) -- In many cultures, native practitioners are treating emotionally disturbed persons with as high a rate of success as our more sophisticated techniques In all cultures, customs set up the conditions under which the patient accepts without fear the authority and power of the healer -- Discussions: -- Michael Maccoby (Mexico) -- It would be a mistake to equate these primitive therapies with -- psychoanalysis, where the patient's conflicts are made conscious and he is expected to suffer the anxiety in making a decision and -- standing by it -- Jules H Masserman (U S A ) -- Psychiatrists have difficulty in accepting the fact that the world does not revolve around the individual Much is determined by circumstances and customs the individual alone does not control All of us are trained within our society with its local mores, and if we depart radically from them either in what we do or "advise," we would be impeached -- Community Psychiatry: The Newest Therapeutic Bandwagon -- H Warren Dunham (U S A ) -- There are many diverse and inconsistent concepts of community psychiatry They range from the idea of bringing psychiatric treatment to the poor, to educating nearly everyone in the principles of mental hygiene Community psychiatry, in its focus on noncritical cases, is likely to further remove the psychiatrist from bona fide cases of mental illness Discussions: Serge Lebovici (France) -- Community psychiatry aims at assuring continuity of care, in the framework of reasonable planning Awareness of the importance of ecological factors does not force one to neglect endopsychic -- conflicts -- Leonard J Duhl (U S A ) -- It is a rather outmoded question to ask whether the psychiatrist steps out of his appropriate role when he concerns himself with the whole community system Community psychiatry is a logical development of psychiatric theory and practice -- J A C de Kock van Leeuwen (Netherlands) -- It is incorrect to conclude, from its unsolved problems, that community psychiatry is dangerous; and the analogy that, as psychiatrists do not know what they do with patients, they certainly will not know what they do when they treat the community, is unjustified -- John R Seeley (U S A ) -- Everyone is entitled to see danger where others see hope But, since the expression of either is a strategy to change outcome, weighty warnings should receive careful examination -- Eric Trist (England) -- There is an enduring place in community psychiatry for two general positions, those of enlightened as distinct from unenlightened conservatism, and of pensive as distinct from ill-considered radicalism -- Louis Miller (Israel) -- Dunham contends that the psychiatrist should not "treat" larger groups in the community Although there is no need for the psychiatrist to be directly involved in community organization, he must be concerned with the social causes of dysfunction and understand the technique of mobilizing community services -- Reply: H Warren Dunham (U S A ) -- I deplore with Dr de Kock van Leeuwen that my views should be taken as a "halt" signal on the promotion of mental health Duhl merely restates, with a somewhat tired metaphor, an organic view of society Lebovici visualizes a more circumscribed role for community psychiatry than most others Seeley's accusation ... // u.a.m.