Clinical Neuroscience

[Some problems in clinical pharmacopsychology from an experiential perspective]

SIMKÓ Alfréd1

APRIL 01, 1963

Clinical Neuroscience - 1963;16(04)

[The practical relevance of pharmacopsychology as a clinical science is determined by its relationship to structural phenomenology and psychopathology. Only in this way is it able to approach the experiences that can be correlated with the dynamics of action of a psychotropic drug in question. (Psychopathological concepts that work with definitions that are abstracted from static mappings - with logical value - have not proved sufficient for this methodology.) After stressing the principle of target symptoms (Freyhan, Hippius) and syndromatics (M. Müller), which are important for the indications of pharmacopsychiatric treatments, the prophenomenal concept of "actual sensitivity" was elucidated, the latter being understood as the experiential dimension of the vital dispositions that can be influenced by medication. Following Friesewinkel's conception, we projected the effects of psychotropic drugs into the dimensions of "Aktualbefindlichkeit" changes. The basic law of pharmacopsychology was recognized in our experience that any pathological experience can only be influenced by medication to the extent that it is still mobile in relation to the variable intensional dynamics and the "Aktualbefindlichkeit". After presenting Hackstein's critical understanding of the issue of clinically relevant effect-disassociations (H. W. Janz), we addressed the issue and illustrated its essence with an example from our own case. We followed Ziolko in listing the most important subjective factors modifying the perception of impact. We have pointed out the phenomena of 'subjective intolerance', which we have mostly evaluated as oppositional. ]

AFFILIATIONS

  1. Budapesti Ideggondozóintézet III. Ker. Tanács VB. Ideggondozóintézete

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