Embrace the inevitable a paradigm shift in history of psychiatry during the Decade of the Brain

Tämä tutkielma luo kuvan 1990-luvulla, aivojen vuosikymmenellä (Decade of the Brain), tapahtuneesta paradigmamuutoksesta psykiatrian historiassa. Vaikka biologisen psykiatrian toinen aalto oli kasvattanut suosiotaan jo edelliset kaksi vuosikymmentä, vasta 1990-luvulla tietoisuus psyykeen biologisist...

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Main Author: Pietilä, Pekka
Other Authors: Humanistis-yhteiskuntatieteellinen tiedekunta, Faculty of Humanities and Social Sciences, Historian ja etnologian laitos, Department of History and Ethnology, Jyväskylän yliopisto, University of Jyväskylä
Format: Master's thesis
Language:eng
Published: 2019
Subjects:
Online Access: https://jyx.jyu.fi/handle/123456789/64410
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author Pietilä, Pekka
author2 Humanistis-yhteiskuntatieteellinen tiedekunta Faculty of Humanities and Social Sciences Historian ja etnologian laitos Department of History and Ethnology Jyväskylän yliopisto University of Jyväskylä
author_facet Pietilä, Pekka Humanistis-yhteiskuntatieteellinen tiedekunta Faculty of Humanities and Social Sciences Historian ja etnologian laitos Department of History and Ethnology Jyväskylän yliopisto University of Jyväskylä Pietilä, Pekka Humanistis-yhteiskuntatieteellinen tiedekunta Faculty of Humanities and Social Sciences Historian ja etnologian laitos Department of History and Ethnology Jyväskylän yliopisto University of Jyväskylä
author_sort Pietilä, Pekka
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description Tämä tutkielma luo kuvan 1990-luvulla, aivojen vuosikymmenellä (Decade of the Brain), tapahtuneesta paradigmamuutoksesta psykiatrian historiassa. Vaikka biologisen psykiatrian toinen aalto oli kasvattanut suosiotaan jo edelliset kaksi vuosikymmentä, vasta 1990-luvulla tietoisuus psyykeen biologisista tekijöistä sekä poliittinen lobbaus aivojen kuvantamismenetelmistä ja farmakologisista interventioista kasvoi eksponentiaalisesti. Tätä muutosta kuvastaa selkeimmin Yhdysvaltain Decade of the Brain -aloite vuodelta 1990 sekä EU:n vastaava vuodelta 1992. Tämän tason muutos kansainvälisessä diskurssissa ei voinut olla vaikuttamatta myös kaikkiin psykiatrian lähialoihin, eikä psykiatrian historia ollut tässä mielessä mikään poikkeus. Tutkimalla kolmen keskeisen psykiatrian ja lääketieteen historioitsijan monografiateoksia, jotka julkaistiin kyseisellä vuosikymmenellä, pystymme analysoimaan tapahtuneiden muutosten eriasteisia vaikutuksia yhden tieteenalan sisällä. Roy Porter, Andrew Scull ja Edward Shorter ovat kunnioitettuja ja asemansa vakiinnuttaneita vaikuttajia tutkimuskentällään. Tarkastelemalla heidän teoksiaan, pystymme hahmottamaan muutoksen, joka näkyy eri tasoilla ja erilaisissa diskursiivisissa ympäristöissä, tiivistyen biologisen psykiatrian käsitteen ja sen kasvavan yhteiskunnallisen merkityksen ympärille. Shorterin ollessa innokas omaksumaan uuden paradigman, Porter suhtautui siihen ristiriitaisesti, ja Scull jätti sen suurelta osin huomiotta koko vuosikymmenen ajan. Analyysini kuitenkin osoittaa, että heistä jokaisen ajatusmallit muuttuivat vuosikymmenen kuluessa ja nämä muutokset voidaan jäljittää 1990-lukua dominoineeseen neuro-puheeseen. Tutkimukseni toimii myös esimerkkinä siitä, miten ja missä tahdissa tieteellinen ajattelu muuttuu ja kehittyy vuorovaikutuksessa ympäröivän yhteiskunnan kanssa. This thesis demonstrates the paradigm shift in the history of psychiatry during the decade of the brain, the 1990s. Even as the second wave of biological psychiatry had been on the rise over the previous two decades, the 1990s saw an exponential increase in the public awareness and political lobbying of brain imaging techniques and pharmacological interventions towards the human psyche, most prominently illustrated by the Decade of the Brain initiative of the USA (1990) and, later, the EU (1992). This level of change in international discourse most definitely affected all connected scientific disciples, and the history of psychiatry was no exception. By examining the monographic works of three prominent historians of psychiatry and medicine published during the decade, it is possible to highlight the varying degrees of influence these changes had inside their discipline. Roy Porter, Andrew Scull and Edward Shorter were (and still are) all acclaimed and established voices in the field. By examining their works, we can discern a shift of thought, operating on different levels and in various discursive environments, but all converging around the concept of biological psychiatry and its rising influence in society at large. Whereas Shorter was explicitly eager to embrace the new paradigm, Porter remained more ambivalent and Scull continued to ignore the subject for much of the decade. Careful analysis shows that they all exhibited changing modes of thought that could be attributed to the all-pervasive neuro-talk of the decade. The study also functions as an example of how and at what pace scientific thought changes and evolves, in co-existence with the society it is embedded in.
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spellingShingle Pietilä, Pekka Embrace the inevitable : a paradigm shift in history of psychiatry during the Decade of the Brain history of psychiatry biological psychiatry Decade of the Brain paradigm shift Yleinen historia General History 3033 paradigmat psykiatria neurotieteet historia oppihistoria tieteenhistoria historiankirjoitus paradigms psychiatry neurosciences history history of science and learning history of science historiography
title Embrace the inevitable : a paradigm shift in history of psychiatry during the Decade of the Brain
title_full Embrace the inevitable : a paradigm shift in history of psychiatry during the Decade of the Brain
title_fullStr Embrace the inevitable : a paradigm shift in history of psychiatry during the Decade of the Brain Embrace the inevitable : a paradigm shift in history of psychiatry during the Decade of the Brain
title_full_unstemmed Embrace the inevitable : a paradigm shift in history of psychiatry during the Decade of the Brain Embrace the inevitable : a paradigm shift in history of psychiatry during the Decade of the Brain
title_short Embrace the inevitable
title_sort embrace the inevitable a paradigm shift in history of psychiatry during the decade of the brain
title_sub a paradigm shift in history of psychiatry during the Decade of the Brain
title_txtP Embrace the inevitable : a paradigm shift in history of psychiatry during the Decade of the Brain
topic history of psychiatry biological psychiatry Decade of the Brain paradigm shift Yleinen historia General History 3033 paradigmat psykiatria neurotieteet historia oppihistoria tieteenhistoria historiankirjoitus paradigms psychiatry neurosciences history history of science and learning history of science historiography
topic_facet 3033 Decade of the Brain General History Yleinen historia biological psychiatry historia historiankirjoitus historiography history history of psychiatry history of science history of science and learning neurosciences neurotieteet oppihistoria paradigm shift paradigmat paradigms psychiatry psykiatria tieteenhistoria
url https://jyx.jyu.fi/handle/123456789/64410 http://www.urn.fi/URN:NBN:fi:jyu-201906063054
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