新精神病学之梦:威廉·c·门宁格与精神分析

Namhee Lee
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摘要

第二次世界大战后,精神病学迫切希望改革这门学科并发展其系统结构。在许多试图建立新的纪律结构的人中,有威廉·c·门宁格(William C. Menninger),他在二战期间排名最高,是准将。通过深入研究威廉·c·门宁格的职业生涯和他的学术著作,本文努力捕捉他通过将精神分析理论引入精神病学来重建精神病学的探索。作为一名精神科医生,他既有军事和非军事的医学经验,又受过精神分析学家的训练,他试图有效地组织精神病学,使这门学科成为建立一个健康和理智的美国社会的先锋。 然而,从这个意义上说,精神病学在战争期间面临的现实并不乐观。在世纪之交,这门学科要么被纳入国立医院,要么被纳入个人诊所。这些有限的经验不能用于前所未有的大规模战争。Menninger根据他在战争中的经历,找出了军事精神病学和民用精神病学目标的区别。特别是在战争接近尾声的时候,迫切需要使精神病学适应战后的环境。Menninger认为,精神病学应该能够通过从精神分析学中借鉴精神动力学理论来应对这种剧烈的环境变化。
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The Dream of New Psychiatry: William C. Menninger and Psychoanalysis
After World War II, psychiatry eagerly wanted to reform the discipline and develop its systematic structure. Among many who tried to establish a new structure of discipline, there is William C. Menninger who ranked the highest level, Brigadier General, during WWII. Delving into the career of William C. Menninger and his scholarly works, this paper strives to capture his quest for rebuilding psychiatry by adopting the theory of psychoanalysis into psychiatry. As a psychiatrist, who had both military and non-military experiences of medicine, and who had been trained as a psychoanalyst himself, Menninger tried to effectively organize psychiatry, so that the discipline could become the spearhead to build a healthy and sane American society. However, the reality that psychiatry had faced during the war was not promising in that sense. At the turn of the century, the discipline had been immersed itself into either state hospitals or individual clinics. These limited experiences could not be utilized for unprecedented large-scale warfare. Menninger, with his experiences during the war, figured out the differences between the goal of military psychiatry and civilian psychiatry. Especially, while the war had been close to the end, there was urgent need to make psychiatry fit in the post-war environment. Menninger believed that it should be psychiatry that could manage this drastic environmental changes by appropriating the psychodynamic theory from psychoanalysis.
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