This paper describes the historical method of psychiatric research and compares it with the method of natural science. Examples are provided of methodological errors in the use of this method: errors in the gathering of clinical evidence and the drawing of inferences. The paper concludes that the historical method need be no less rigorous in its application than the method of natural science, and that both methods are necessary in the comprehensive formulation of a psychiatric case.
References
1.
DiltheyW.Introduction to the human sciences. Translated by BetanzosRJ. London: Harvester Wheatsheaf, 1988.
2.
WindelbandW.History and natural science. History and Theory1980; 19:165–185.
3.
JaspersK.General psychopathology. Translated by HoenigJHamiltonMW. Chicago: University of Chicago Press, 1963.
4.
McHughPRSlavneyPR.Methods of reasoning in psychopathology: conflict and resolution. Comprehensive Psychiatry1982; 23:197–215.
5.
SinghBSDohertyPKalucyR.The components of the fellowship examination: 1970–1990. Australasian Psychiatry1993; 1:16–21.
6.
DaviesJW.A critical survey of scientific methods in two psychiatric journals. Australian and New Zealand Journal of Psychiatry1987; 21:367–373.
7.
HodgesHA.The philosophy of Wilhelm Dilthey. London: Routledge and Kegan Paul, 1952.
8.
von WrightGH. Explanation and understanding. London: Routledge and Kegan Paul, 1971.
9.
HempelCG.The logic of functional analysis. In: GrossL, ed. Symposium on sociological theory. New York: Harper & Row, 1959:271–307.
10.
RiegelmanRK.Studying a study and testing a test: how to read the medical literature. Boston: Little, Brown, 1981.
11.
HodgesHA.Wilhelm Dilthey: an introduction. New York: Oxford University Press, 1944.
12.
SchwartzMAWigginsOP.Perspectivism and the methods of psychiatry. Comprehensive Psychiatry1988; 29:237–251.
13.
SchutzA.The phenomenology of the social world. Translated by WalshGLehnertF. London: Heinemann, 1972.
HempelCG.The function of general laws in history. Journal of Philosophy1946; 43:35–48.
16.
KantI.Critique of pure reason. Translated by SmithNK. London: MacMillan, 1929.
17.
PopperK.The logic of scientific discovery. New York: Harper & Row, 1968.
18.
HunterKM.A science of individuals: medicine and casuistry. Journal of Medicine and Philosophy1989; 14:193–212.
19.
FletcherRHFletcherSW.Clinical research in general medical journals: a 30-year perspective. New England Journal of Medicine1979; 301:180–183.
20.
FeinsteinAR.Clinical biostatistics. Saint Louis: CV Mosby, 1977.
21.
SpenceDP.Narrative truth and theoretical truth. Psychoanalytic Quarterly1982; 51:43–69.
22.
RussellB.The problems of philosophy. New York: Holt, 1912.
23.
SlavneyPRMcHughPR.Life stories and meaningful connections: reflections on a clinical method in psychiatry and medicine. Perspectives in Biology and Medicine1984; 27:279–288.
24.
SherwoodM.The logic of explanation in psychoanalysis. New York: Academic Press, 1969.
25.
RicoeurP.The question of proof in Freud's psychoanalytic writings. Journal of the American Psychoanalytic Association1977; 25:835–871.
26.
CramondWFraenkelMBarrattL.On letting go: the patient, haemodialysis and opting out. Australian and New Zealand Journal of Psychiatry1990; 24:268–275.
27.
HernandezM.Common ground: an analytic break and its consequences. International Journal of Psychoanalysis1990; 71:21–29.
28.
FeldmanM.Common ground: the centrality of the Oepidus complex. International Journal of Psychoanalysis1990; 71:37–48.
29.
SteinerJ.Pathological organisations as obstacles to mourning: the role of unbearable guilt. International Journal of Psychoanalysis1990; 71:87–94.
30.
AaronsZA.Depressive affect and its ideational content: a case study of dissatisfaction. International Journal of Psychoanalysis1990; 71:285–296.
31.
KennedyR.A severe form of breakdown in communication in the psychoanalysis of an ill adolescent. International Journal of Psychoanalysis1990; 71:309–319.
32.
CecchiV.Analysis of a little girl with an autistic syndrome. International Journal of Psychoanalysis1990; 71:403–410.
33.
Adams-SilvanASilvanM.“A dream is the fulfilment of a wish”: traumatic dream, repetition compulsion, and the pleasure principle. International Journal of Psychoanalysis1990; 71:513–522.
34.
KoganI.A journey to pain. International Journal of Psychoanalysis1990; 71:629–640.
35.
American Psychiatric Association.Diagnostic and Statistical Manual of Mental Disorders (Third Edition — Revised). Washington, DC: American Psychiatric Association, 1987.
36.
EdelsonM.The evidential value of the psychoanalyst's clinical data. Behavioural and Brain Sciences1986; 9:232–234.
37.
American Psychiatric Association.A psychiatric glossary, 5th ed.Boston: Little Brown, 1980.
38.
SimsA.Symptoms in the mind. London: Bailliere Tindall, 1988.
39.
KaplanHISadockBJ, eds. Comprehensive textbook of psychiatry, Vol. 1, 4th ed.Baltimore: Williams and Wilkins, 1985.
40.
GoldsteinWN.Clarification of projective identification. American Journal of Psychiatry1991; 148:153–161.
41.
SchwaberEA.The psychoanalyst's methodological stance: some comments based on a response to Max Hernandez. International Journal of Psychoanalysis1990; 71:31–36.
42.
EdelsonM.Hypothesis and evidence in psychoanalysis. Chicago: University of Chicago Press, 1984.
43.
SlapJWLevineFJ.On hybrid concepts in psychoanalysis. Psychoanalytic Quarterly1978; 47:499–523.
44.
BeresD.Structure and function in psychoanalysis. International Journal of Psychoanalysis1965; 46:53–63.
45.
VargheseFT.The phenomenology of psychotherapy. American Journal of Psychotherapy1988; 42:389–403.
46.
GrünbaumA.The foundations of psychoanalysis: a philosophical critique. Berkeley: University of California Press, 1984.
47.
BinnsP.Experimental evidence and psychotherapy. British Journal of Philosophical Science1990; 41:531–552.
48.
EngelGL.“Psychogenic” pain and the pain-prone patient. American Journal of Medicine1959; 26:899–918.
49.
MainTF.The ailment. British Journal of Medical Psychology1957; 30:129–145.