History of writing as a tool for the practice of psychiatry and mental health

Ramiro Pérez Martín
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Abstract

Writing as we know it today is a relatively new development in the cultural history of humanity. More current still is the massiveness of the literacy of the population. Since the origins of psychiatry, writing has been an inherent part of it in the medical literature, but it has also been a tool applied in practice in various formats, both for diagnostic and therapeutic purposes. However, compared to the classic communication tools, such as speech, and in child psychiatry, also play and drawing, writing seems to have been relegated. In this bibliographical research, that would not have precedents of its kind, a historical overview of the subject was carried out from the emergence of psychiatry as a specialty to the present day; where events such as the World Wars, the evolution of the concept of disability or the COVID-19 pandemic seem to have played a key role in delimiting variables that characterize at least three historical periods and presuming a fourth in full gestation. The technological support with which it is written and the use and format given to writing were the main variables of the different periods. Being a time of very high demand in Mental Health, challenging in its accessibility and the massive use of writing from information technologies, this research would represent a significant contribution to the development of writing as a tool for the practice of psychiatry and mental health.

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作为精神病学和心理健康实践工具的写作史。
今天我们所熟知的文字是人类文化史上一个相对较新的发展。更具有现实意义的是大众扫盲。自精神病学起源以来,文字一直是医学文献中精神病学的固有组成部分,同时也是以诊断和治疗为目的,以各种形式应用于实践的工具。然而,与传统的交流工具(如语言)以及儿童精神病学中的游戏和绘画相比,书写似乎一直处于次要地位。在这项史无前例的书目研究中,我们对这一主题进行了历史回顾,从精神病学作为一门专科出现至今,世界大战、残疾概念的演变或 COVID-19 大流行等事件似乎在划分变量方面发挥了关键作用,这些变量至少是三个历史时期的特征,并推测第四个历史时期正在酝酿之中。书写所使用的技术媒介以及书写的用途和形式是不同时期的主要变量。目前是精神卫生需求量非常大的时期,在其可获取性和基于信息技术的写作的大量使用方面具有挑战性,因此,这项研究将为把写作作为精神病学和精神卫生实践的一种工具的发展做出重大贡献。
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