The concept of hysteria as mirror of the relation between clinical and cultural psychology

L. P. F. Guenther
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Abstract

This paper theoretically examines how the psycho-pathological concept of hysteria has evolved since its emergence in antiquity, what causes contributed to it and how nowadays meaning-making systems of clinical psychology are mirrored through it. As has been shown, the transformation of hysteria is more closely related to the cultural psychology of feminism than any other disease before it. The 20th century in particular marked a significant change in the conceptualization of hysteria. From a highly sexist and paternalistic it became a political diagnose and finally was used, after getting banished from the psychological dictionary as an everyday pejorative personality adjective. It underwent a transformation within its gender classification, which was initially limited exclusively to women. Later, it became a psychiatric diagnosis, which was no longer durable nowadays and has finally changed into the concept of histrionic today. The analysis shows how, on the one hand, medical and biopsychological findings and, on the other hand, especially political movements and their cultural psychological processes of change form the basis of psychopathological concepts. It will be shown to what extent hysteria is exceptionally exemplary for this change in psychological meaning-making. In this context, the close connection between hysteria and the emancipatory development of our society could be emphasized.
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癔病的概念反映了临床心理学和文化心理学之间的关系
本文从理论上考察了癔病的心理病理概念自古代出现以来是如何演变的,导致它的原因是什么,以及当今临床心理学的意义建构系统是如何通过它反映出来的。如前所述,歇斯底里症的转变与女权主义的文化心理的关系比之前任何疾病都要密切。特别是在20世纪,歇斯底里症的概念发生了重大变化。它从一个高度性别歧视和家长式的词变成了一种政治诊断,在作为一个日常贬义的人格形容词从心理学词典中被剔除后,最终被使用。它在性别分类方面进行了改革,最初仅限于妇女。后来,它变成了一种精神病的诊断,这种诊断在今天已经不再持久,最终变成了今天的戏剧概念。分析表明,一方面,医学和生物心理学的发现,另一方面,特别是政治运动及其文化心理变化过程如何构成精神病理学概念的基础。我们将会看到癔病在多大程度上是心理学意义创造变化的典型。在这方面,可以强调歇斯底里与我们社会的解放发展之间的密切联系。
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