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为什么反权威者会被诊断为精神病（2012）
Why Anti-Authoritarians Are Diagnosed as Mentally Ill (2012)
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导读
这篇文章讨论反权威者为何容易被精神医学体系贴上“精神疾病”标签：诊断并非纯粹客观，而可能受社会顺从规范和诊断者自身偏见影响。文章借案例与论述质疑，把对权威的质疑、不服从或政治性担忧简单病理化是否合理。
为什么经久不衰：它触及个人自主与制度权威之间的长期张力，也提醒人们警惕用“诊断”来消解合理质疑，因此在多年后仍反复引发共鸣。
HN 评论精选
亲身经历显示，对政府监控的合理担忧可能被精神科医生直接当作妄想。
我去看精神科医生，她说我有“关于政府的妄想”。她问我什么让我焦虑，我说政府收集我们所有数据并想剥夺加密让我害怕。她说我疯了，政府不会这么做。
humbleMouse查看英文原文
This is very interesting to me. I went to a psychiatrist last week and she told me I have "delusional thoughts about the government." She asked me what gives me anxiety, and I told her that it freaks me out that the government collects all of our data and wants to take away encryption. She told me I am nuts and that the government doesn't do that. ce le vie!
精神障碍的定义可能受专业群体投票和社会观念影响，而非纯科学事实。
我觉得研究精神障碍是如何被“发明”出来的很有意思。比如同性恋是精神障碍吗？这基本上就是一群精神科医生聚在一起提议并投票决定，不是科学。
jensen123查看英文原文
I think it's interesting to look at how psychiatric disorders are invented. For example, is homosexuality a mental disorder? It's basically just a bunch of psychiatrists getting together, suggesting stuff and voting on it. It is not science. http://www.theatlantic.com/health/archive/2013/05/the-real-problems-with-psychiatry/275371/
应区分反权威与情绪不成熟，同时承认诊断偏见存在，但不要把所有政治表达都当作健康。
我喜欢这篇文章的方向，但要厘清术语。“反权威者”是激烈质疑或拒绝权威的人；“混蛋”是有情绪或成熟问题、让人不适的人。两者都不是病，可以重叠，但别混淆。文章的核心论点——诊断者带着自己都未察觉的偏见——很准确。精神病学一直在引入顺从，有好有坏；当然这不等于没有真正需要帮助的精神病人。只是手里有锤子，看什么都像钉子。补充：要小心从结果倒推原因，支持某个事业不代表没有情绪问题。
DanielBMarkham查看英文原文
I like where this article is going a lot, but let's be clear on terms. "Anti-authoritarians" are people who question and/or reject authority aggressively. "Assholes" are people who have emotional and/or maturity issues that cause them to irritate others. Neither of these are diseases, and you can be both, but don't confuse one with the other. I'm a fairly asocial person, but I've learned to be more diplomatic at times. On the other hand, the world is full of angry immature people who just want to "tear it all down!" without actually at heart being for or against anything. They're just a bundle of emotions looking for a place to vent. But the underlying thesis here, that the professionals diagnosing people as mentally ill carry lot of bias with them that even themselves are unaware of? Spot on. Psychiatry has always been about introducing conformity (both in a good way and in a bad way) to society. Of course, that doesn't mean that there aren't a lot of really mentally ill people who need help, just that when you have a hammer, the world is your nail. :) ADD: I would just be very careful about working this problem backwards, from effect to cause. That is, simply because somebody or another supports a cause you believe in doesn't necessarily mean that they aren't emotionally ill. My personal opinion is that there are a lot of emotionally-struggling people who choose politics as a socially acceptable way to vent on the world.
把不服从者关起来或病理化的体制逻辑长期未变，只是手段从脑叶切除变成过度用药。
这基本上就是《飞越疯人院》的前提。那本书的核心问题是：“到底谁才是真的疯了，是病人还是体制？”令人恐惧的是，书写完40多年后看法仍未改变。区别大概是现在他们只是过度用药，而不是做脑叶切除。
steve8918查看英文原文
This is basically the premise of the book "One Flew Over The Cuckoo's Nest". The major question of the book was: "Who was really crazy, the inmates or the System?" It's kind of frightening that views haven't changed in the 40+ years since the book was written. I guess the difference is that they will simply overmedicate rather than lobotomize.
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