Melancholie: Problemgeschichte Endogenität Typologie Pathogenese Klinik
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Diese Erfahrungsweise ist eine dezidiert geschichtliche, wie dies auch im Begriff der "kinetischen Typologie" zum Ausdruck kommt. Das gilt in gleichem Ma e für die situationspsychologische Pathogenetik, die sich als eine Erfahrung der Geschichtlichkeit des in die psychotische Abwandlung einmündenden Lebensweges nicht mit dem indukti- ven Verfahren der Naturwissenschaften zur Wissenschaft erheben lä t. Akzentuiert wird diese Geschichtlichkeit nicht zuletzt in dem an den Anfang des Buches gestellten problemgeschichtlichen Kapitel. Dagegen hebt sich die empiristische Erfahrungsweise durch ihre eine entscheidende Wesensbestimmung des Menschseins verfehlende extreme Ungeschichtlichkeit ab. Diese Gegenüberstellung statuiert freilich nicht nur ein Exempel für den Allein- Anspruch des Empirismus auf die Kybernetes-(d. h. Steuermanns-)rolle in der Psychia- trie. Ignoriert wird. V. v. Weizsäckers Einsicht: "Um Lebendes zu erforschen, mu man sich am Leben beteiligen" (S. V); denn in der Sphäre des Empirismus findet sich der alleinige Anspruch auf Wissenschaftlichkeit des Erkennens gebunden an das "Diagnosti- zieren" durch Instrumente, das "Therapieren" durch Psychopharmaka; das Prognostizie- ren" vermittels kybernetischer Methoden, die Befunderhebung durch Test-Batterien: kurzum, das Qualifizieren durch Quantifizieren. Dergestalt ist das Sensorium des forschenden Psychiaters gebunden an LaCKEs Thesis "Nihil est in intellectu, quod non fuerit in sensu"; keinesfalls aber untersteht es LEmNIZens sieghafter Ergänzung: "Nisi intellectus ipse". Es hat seine erschlie ende Erfahrungsmacht an anonyme Apparate und Institutionen abgetreten. Nirgends ist der Ruf nach Anti-Autoritärem so autoritär befolgt worden.
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