["Querulantenwahnsinn"——疯狂还是固执?]

Karen Nolte
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引用次数: 0

摘要

德国精神病学概念“Querulantenwahnsinn”表达了1900年左右庇护精神病学的司法话语、批评和合法化之间的联系。本文首先对“Querulantenwahnsinn”的论述进行分析。第二步,将根据马尔堡精神病院(Landesheilanstalt Marburg)的医疗记录,构建关于这一社会和精神现象的"病人观点"(《波特》)。对患者经验的探究需要反思这样一个事实,即“Querulantenwahnsinn”的临床表现是非常可信的。它是由精神病学家创建的,作为对精神病院批评的回应。每一次试图质疑精神病院批判立场的病态化,每一次抵抗都会导致精神病学诊断的巩固。因此,病态化,被关进精神病院影响了病人的自我感知——所以他们可能违背自己的明确意愿,参与了关于“Querulantenwahnsinn”的讨论。文章指出,“Querulantenwahnsinn”的话语是威廉社会中社会矛盾和法律文化的一种表现。
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["Querulantenwahnsinn"--insanity or stubbornness?].

The German psychiatric concept "Querulantenwahnsinn" expresses the link between the juridical discourse, the critiques and the legitimation of asylum psychiatry around 1900. The paper will at first analyse the discourse on "Querulantenwahnsinn". In a second step the "patient's view" (Porter) on that social and psychiatric phenomenon will be constructed on the basis of medical records of the Landesheilanstalt Marburg (asylum). The inquiry of patient's experience demands a reflection of the fact that the clinical picture of "Querulantenwahnsinn" was very plausible. It had been created by psychiatrists as a reaction to the critiques on asylum psychiatry. Every attempt to question the pathologisation of a critical position on asylum psychiatry, every resistance results in a consolidation of the psychiatric diagnosis. Consequently the pathologisation, the confinement into an asylum influenced the auto-perception of the patients--so they possibly enroled in the discourse on "Querulantenwahnsinn" against their explicit will. The paper points out that the discourse on "Querulantenwahnsinn" is an expression of social conflicts and the legal culture in the Wilhelmine society.

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