Psychiatry and culture.
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Biomedical subjects
Publications and source records attributed to D Pivnicki.
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Existential analysis has made us face the paradoxes, if not antinomies, in psychotherapy that we did not seem to be aware of. Existential philosophy is a highly elaborate, technical and linguisticly difficult field. In psychiatry, existential analysis of turned out to be just a set of hallowed commonplaces. As philosophy, its intent is the discovery of the grounds for our existence and in this way it seems to approach theology. In some instances it may turn into atheistic arrogance. With the stern zeal of philosophy and the pessimistic theology of existentialism, one hardly knows where to begin with psychotherapy. Often it fascinates the mediators, the writers who seem to offer us patterns helpful in our daily work. The effort, to take a radical stand to try to rewrite psychiatry, seems to be justified. And, if existential analysis hardly succeeds in bringing back into 'existence' (Dasein) some of our disturbed patients, it has aroused a review of our stale and abused terms and concepts. Psychiatry cannot exist, disciplined and sensible, without the enlightenment which philosophy offers. Some new departures could be attempted again. But if philosophy is not a way of talking and teaching but a way of living, is the psys goal. If he failed, his work remains a lighthouse in our time, warning us on our voyage.
Psychiatry has asked and has been helped from many sides. As far as history is concerned, it was interested, almost exclusively, as long as it was history of psychiatry. In this paper an attempt has been made to show that history and, especially, philosophy of history could offer substantial help, particularly as teachers of methodology and hermeneutics.
Transference as a term in philosophy has been used by Kant and Fichte from the end of the 18th century. By the end of the next one it became widely used. Freud's first "definition" of the term transference (1895) is, as far as daily use of it is concerned, the most precise one and in closet symphony with the early ones in philosophy. The later formulations of his, are dim and vague. But even in this respect they follow the path this metaphore has already passed in the works of Dilthey: from a specific descriptive notion to an all-encircling concept. These uncertainties of meaning, depleated its practical value. Further studies might be of, both, theoretical and practical importance, only if discipline will be applied in defining and testing its definitions. To proceeed further in scholastic disputations is senseless.