佛教對「心身關係」中「心理疾病」本質的詮解 ──以廣義的心識哲學為中心;The Interpretation of The Essence of “Mental Illness” from the “Mind-Body Relationship” of Buddhism — In the Thought of Philosophy of Consciousness

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Title:	佛教對「心身關係」中「心理疾病」本質的詮解 ──以廣義的心識哲學為中心;The Interpretation of The Essence of “Mental Illness” from the “Mind-Body Relationship” of Buddhism — In the Thought of Philosophy of Consciousness
Authors:	干文琴;Kan,Wen-Chin
Contributors:	哲學研究所
Keywords:	心身關係;心理疾病;阿陀那識;理性;情緒;佛教哲學
Date:	2015-06-22
Issue Date:	2015-07-30 20:21:18 (UTC+8)
Publisher:	國立中央大學
Abstract:	「疾病」現象是人在生命歷程中必然遭逢的際遇，然而，回應這個生活世界的普遍現象的專門哲學論述並不多。本文以幾個文本資料為背景，將問題論域聚焦於「疾病」中的「心理疾病」。當「心理疾病」的衝擊層面不斷擴大時，有一些精神科醫師開始反思並面對「心靈哲學」的核心議題並將這些哲學的假設應用到臨床的疾病治療中。另有一些有識之士著手於精神疾病與哲學的相關研究，逐漸開展出哲學領域的一個新版圖—「精神醫學哲學」。在醫學臨床者開始借助哲學來反思既有的科學視域之際，本文意圖檢視佛教哲學對「心理疾病」這個現象或概念是否具有解釋力，並期望能從佛教文本解釋心理疾病的發生學(genetics)及其本質義涵。本文以「解行並重」的動態詮釋學為進路，並以佛教中心識哲學的相關思想為為研究範圍。全文的架構如下：第一章從「心靈哲學」、「佛法中的心身關係」以及「精神醫學哲學」著手進行文獻回顧。第二章則是處理英美、歐陸及佛學對「心理疾病」的哲學思辨內容第三章透過論證佛教唯識立場的先驗意識結構，為揭示佛法的心身關係鋪路。第四章則透過「五蘊」及「六大」各別概念間的關聯性，找出佛法中的心身互動以及心腦關係。第五章探究「心王」、「心所」與「心理疾病」的關係，並從「本體論」與「認識論」層面為「理性」提供佛法的定義。此外。亦論證「心所法」同時具有「認知」、「情緒」及「倫理」意涵，及在此意涵下如何共同建立「理性」概念，乃至於影響心理健康。 ;“Illness” is a necessary phenomenon that people have to encounter in the whole life. However, there are few philosophical discussions respond to this universal state. This dissertation poses the question of “mental disorder” , which is drawn the inspiration from some research papers. While the negative impacts of "mental illness" are dramatically increasing, some psychiatrists begen to reckon with the core issues of "philosophy of mind" and apply these philosophical assumptions to the treatment in clinical. Meanwhile, there are some philosophers devoted to researches relating psychiatry to philosophy. A new field, philosophy of psychiatry, is therefore gradually developed in such context. This dissertation intends to examine if Buddhist philosophy is able to illuminate the concept of “mental disorder”.The main purpose is to present the genetics and eccence of “mental disorder” from the view of Buddhist context. This paper is organized as follows. Chapter 1 writes the literature review of philosophy of mind, mind-body relation of Buddhism and philosophy of psychiatry. Chapter 2 reviews some philosophical refection on “mental disorder” from the prespective of American, Continental and Buddhism. Through the argumentation of transcendental consciousness constitution from the viewpoint of Yogācāra, Chapter 3 reveals the relation and genetics of mind and body. Chapter 4 justifies mind-body interaction and mind-brain relationship with the explication of “six supreme qualities” and “five aggregations”. The relations among “mind”(心王), “mental concomitants”(心所) and “mental disorder are discussed , and the definition of “reason” (理性) from Buddhist perspective is offered in chapter 5. Furthermore, we also explain that “mental concomitants” have cognitive, emotional and moral implications. The Buddhist concept of “reason” is thus coerected by “mental concomitants” with cognitive, emotional and moral implications, which affect mental health together.
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