幻觉和致幻剂:精神病理学还是智慧?

IF 1.5 4区 医学 Q2 ANTHROPOLOGY Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI:10.1007/s11013-022-09814-0
José Carlos Bouso, Genís Ona, Maja Kohek, Rafael G Dos Santos, Jaime E C Hallak, Miguel Ángel Alcázar-Córcoles, Joan Obiols-Llandrich
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引用次数: 2

摘要

目前,幻觉几乎完全与精神病理状态有关。虽然很明显,幻觉可以表明精神病理或神经障碍,但我们应该记住,幻觉也通常发生在没有任何精神病理迹象的人身上。类似的情况发生在致幻剂的情况下,长期以来,它一直与精神病理和精神错乱有关。然而,在过去的几十年里,大量的研究表明,某些由致幻剂引起的幻觉可能有助于改善心理健康。我们建议,根据历史、流行病学和科学研究,幻觉可以被更好地描述为一种常见现象,有时与精神病理有关,但也与功能甚至有益的结果有关。在手稿的最后部分,我们扩展了我们的论点,认为幻觉可以提供通往心灵和世界知识的途径。这种对幻觉的文化解释的根本转变可能会对药物政策、民法和精神病学等领域产生影响,也会对与精神障碍有关的耻辱产生影响。
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Hallucinations and Hallucinogens: Psychopathology or Wisdom?

Hallucinations are currently associated almost exclusively with psychopathological states. While it is evident that hallucinations can indicate psychopathology or neurological disorders, we should remember that hallucinations also commonly occur in people without any signs of psychopathology. A similar case occurs in the case of hallucinogenic drugs, which have been long associated with psychopathology and insanity. However, during the last decades a huge body of research has shown that certain kinds of hallucinations, exerted by hallucinogenic drugs, may serve to improve mental health. We propose that, in light of historical, epidemiological, and scientific research, hallucinations can be better characterized as a common phenomenon associated sometimes with psychopathology but also with functional and even beneficial outcomes. In the last sections of the manuscript, we extend our argument, suggesting that hallucinations can offer a via regia to knowledge of the mind and the world. This radical shift in the cultural interpretation of hallucinations could have several implications for fields such as drug policy, civil law, and psychiatry, as well as for the stigma associated with mental disorders.

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来源期刊
CiteScore
3.70
自引率
5.90%
发文量
49
期刊介绍: Culture, Medicine, and Psychiatry is an international and interdisciplinary forum for the publication of work in three interrelated fields: medical and psychiatric anthropology, cross-cultural psychiatry, and related cross-societal and clinical epidemiological studies. The journal publishes original research, and theoretical papers based on original research, on all subjects in each of these fields. Interdisciplinary work which bridges anthropological and medical perspectives and methods which are clinically relevant are particularly welcome, as is research on the cultural context of normative and deviant behavior, including the anthropological, epidemiological and clinical aspects of the subject. Culture, Medicine, and Psychiatry also fosters systematic and wide-ranging examinations of the significance of culture in health care, including comparisons of how the concept of culture is operationalized in anthropological and medical disciplines. With the increasing emphasis on the cultural diversity of society, which finds its reflection in many facets of our day to day life, including health care, Culture, Medicine, and Psychiatry is required reading in anthropology, psychiatry and general health care libraries.
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