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论特伦巴赫的忧郁症类型者理论
引用本文:徐献军. 论特伦巴赫的忧郁症类型者理论[J]. 医学与哲学, 2023, 44(7): 56-59. doi: 10.12014/j.issn.1002-0772.2023.07.12
作者姓名:徐献军
作者单位:同济大学人文学院 上海 200092
基金项目:2017年国家社会科学基金一般项目(17BZX084)
摘    要:

从特伦巴赫的忧郁症类型者理论出发,基于特伦巴赫的文本,对忧郁症(即重度抑郁症)患者的病前人格和发病情境进行探析。患者病前人格的典型特征是秩序感的固着,即强烈地保持秩序井然的倾向与极高的责任感。此外,梳理了忧郁症的两个病因要素,即封闭和剩磁。忧郁症类型者会将其实存封闭起来,并认为:如果跨越实存的边界,秩序就会受到威胁。剩磁是一种很接近“无意义感”的感觉,而它很容易使忧郁症类型者产生内疚感和罪责感。最后,阐明了在后规训社会中的绩效崇拜如何孕育抑郁症的种子。



关 键 词:内源性   忧郁症   抑郁症   封闭   剩磁   绩效崇拜
收稿时间:2022-12-10
修稿时间:2023-03-10

On Tellenbach's Theory of Typus Melancholicus
XU Xian-jun. On Tellenbach's Theory of Typus Melancholicus[J]. Medicine & Philosophy, 2023, 44(7): 56-59. doi: 10.12014/j.issn.1002-0772.2023.07.12
Authors:XU Xian-jun
Affiliation:College of Humanities, Tongji University, Shanghai 200092, China
Abstract:According to Tellenbach's theory of typus melancholicus (TM), the premorbid personality of patients with melancholia and their situation (i.e., major depressive disorder) has been explored mainly based on Tellenbach's text. The typical characteristic of patients' premorbid personality is the fixation of orderliness, that is, a strong tendency to maintain order and a high sense of responsibility in work and life. In addition, two psychogenic factors of melancholy are sorted out, namely includence and remanence. TM close their existence and believe that if they cross boundary, order will be threatened. Remanence is a feeling very close to "sense of meaninglessness", and it can easily make TM feel guilt and in debt. Last but not least, this article reveals also how cult of performance in a post-discipline society breeds the seeds of depression.
Keywords:endogeneity  melancholia  depression  includence  remanence  cult of performance
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