This paper is the second of two to explore historical concepts of causation in psychiatry. Psychogenesis (as opposed to organogenesis) is superficially attractive but ambiguous, as it can apply either to something that is produced by the psyche or alternatively to the effect on the psyche from external factors. The term endogenous may be contrasted to exogenous or reactive, but the meanings of each have become blurred and ambiguous. Difficulty also arises when contrasting the process versus comprehensibility of mental disorders, as the limits of what may be understood are imprecise. A fourth comparison is between temperament and constitution against types of reaction, and again there is a tendency to circularity. Finally, a way forward is suggested using the notion of psychosomatic brain diseases.

中文翻译：

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经典精神病学中心理发生与器官发生对立的历史：第 2 部分

本文是探讨精神病学因果关系历史概念的两篇论文中的第二篇。心理发生（与器官发生相反）表面上有吸引力但模棱两可，因为它既可以应用于由心理产生的东西，也可以应用于外部因素对心理的影响。术语内源性可能与外源性或反应性形成对比，但每一个的含义都变得模糊和含糊不清。当将精神障碍的过程与可理解性进行对比时也会出现困难，因为可以理解的范围是不精确的。第四个比较是性情和体质对反应类型的比较，再次有循环的趋势。最后，使用心身脑疾病的概念提出了前进的道路。