[精神病学理论中自由的作用]。

Acta psychiatrica Belgica Pub Date : 1995-01-01
L Cassiers
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引用次数: 0

摘要

所有用于治疗精神疾病的心智理论都是基于这样或那样的决定论。因此,精神科医生不得不把病人的主观自由意志设想为一种他们的理论无法解释的心理功能。因此,他们在治疗选择的伦理方面遇到了许多困难。根据皮肖(A. Pichot)、瓦雷拉(F. Varela)和梅尔(Ph. Meire)的观点,作者提出了一种关于大脑功能及其与心灵联系的自指概念。他展示了人类的自由意志是如何在理论上占有一席之地的。他指出了这种模式的临床优势,赋予病人的自由意志治疗作用,使精神科医生更容易做出伦理选择。
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[Role of freedom in psychiatric theories].

All the theories of mind used in the treatment of mental illnesses are based on one or another kind of determinism. Therefore, psychiatrists are obliged to conceive the subjective free will of their patients as a psychological function that their theories do not explain. As a result of it, they encounter many difficulties in the ethical aspects of their therapeutical choices. Following the ideas of A. Pichot, F. Varela and Ph. Meire, the author proposes an autoreferential conception of the cerebral functions and its link with mind. He shows how it is possible to give a theoretical place to human free will. He indicates the clinical advantages of such a model, giving the free will of the patient a therapeutical role, and making the ethical choices of the psychiatrist easier.

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