Ivan Krpan

Neke etičke implikacije konstruktivizma u psihijatriji

Some ethic implications of constructivism in psychiatry

Socijalna psihijatrija 1993;21:65-70.

Terapijska stvarnost je više plod preslikavanja teorijskog modela nego objektivne stvarnosti. To će iskusnijeg i otvorenijeg terapeuta učiniti, barem načelno, eklektikom koji bi se trebao, rjeđe sam, a češće u partnerskom donosu s drugim terapeutima i klijentima, pokušavati približiti terapijskim ciljevima koji su isto tako definirani kroz suradnju.

Po prosudbi autora, uvid u ove okolnosti implicira i izvjesne etičke imperative. Oni bi trebali popuniti jaz između objektivnog i konstruiranog, između onoga što jeste i onoga što pritom, s manje ili više uspjeha, koristimo kao pragmatički nadomjestak. Upravo taj čin "spajanja" čini psihijatriju specifičnom terapijskom djelatnošću.

Therapeutic reality is the result of the theoretical model coping with objective reality (objectivity). By means of it, at least fundamentally, a more experienced and open - minded therapist will be turned into the eclectic who should try to reach, rarely alone and more often in the therapeutical relationship with other therapists and clients, the therapeutic goals defined in the course of their cooperation.

The author also considers that the insight into these circumstances implies certain ethic imperatives. They should be used to fill up the gap between the objective and constructed features, as well as between the existing ones and those that are used with more or less success as the pragmatic surrogate. It is exactly this act of "integration" that turns psychiatry into a specific therapeutic activity.