[精神病学家批评精神病学:精神病院院长古斯塔夫·科尔布(1870-1938)和他为社会改革和职业目标而奋斗]。

Astrid Ley
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摘要

自1900年左右以来,公众对机构精神病学的批评一直在增长,在这种背景下,埃尔兰根研究所所长古斯塔夫·科尔布(Gustav Kolb)设计并建立了所谓的“开放式护理”,旨在改革临床精神病学护理。这导致了一种新型门诊护理诊所的创建,这成为魏玛共和国时期公共精神卫生保健的一个决定性特征。然而,对其概念和实践的进一步研究表明,科尔布主要追求的是与职业政治相关的目标,因为通过“开放式护理”,他大大扩展了机构精神病学的能力领域。他还设法改善机构精神科医生的职业状况,这在当时一直受到专业人员的抱怨,为此他设立了“护理医生”一职,并为机构医生开辟了新的职业前景。因此,科尔布的“开放式护理”模式可以被解释为魏玛共和国时期精神科专业人士的专业化策略。
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[Psychiatrists criticising psychiatry: the asylum director Gustav Kolb (1870-1938) and his struggle for social reforms and professional aims].

Against a background of public criticism of institutional psychiatry, which had been growing since around 1900, the director of the institute in Erlangen, Gustav Kolb, devised and set up what was known as "open care", with the intention of reforming clinical psychiatric care. This led to the creation of a new type of outpatient care clinic, which became a defining characteristic of public mental health care during the time of the Weimar Republic. A closer examination of it as a concept and in practice shows, however, that Kolb was primarily pursuing aims related to the politics of the profession, for with "open care", he considerably extended the area of competence of institutional psychiatry. He also sought to improve the professional situation of institutional psychiatrists, which was constantly being complained about by members of the profession at the time, by creating the position of "care doctor" and with it a new career perspective for doctors at institutions. Kolb's model of "open care" can thus be interpreted as being the professionalisation strategy of a member of the psychiatric profession during the Weimar Republic.

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