Nemiah J C
Psychother Psychosom. 1975;26(3):140-7. doi: 10.1159/000286923.
Certain clinical observations cast doubt on the validity of the traditional psychological explanation of psychosomatic disorders, which invokes the concept of a psychodynamic conflict derived from psychoanalytic theory. Psychosomatic patients appear to be unable to describe feelings in words, show a marked paucity of fantasy, and do not make significant internal psychological changes in these areas in the course of psychodynamically oriented psychotherapy. It is suggested that neurophysiological hypotheses may be more useful for understanding psychosomatic processes and specifically that disturbances in the function of the palleostriatral dopamine tract are related to psychosomatic disorders. Testable inferences from this hypothesis are proposed, including the suggestion that clinically and neurophysiologically, schizophrenia and psychosomatic disorders are the obverse of one another.
某些临床观察对心身疾病传统心理学解释的有效性提出了质疑，这种解释援引了源自精神分析理论的心理动力冲突概念。心身疾病患者似乎无法用言语描述情感，表现出明显缺乏幻想，并且在以心理动力学为导向的心理治疗过程中，在这些方面没有发生显著的内在心理变化。有人提出，神经生理学假说可能对理解心身过程更有用，具体而言，苍白球纹状体多巴胺通路功能紊乱与心身疾病有关。本文提出了从这一假说中可检验的推论，包括在临床和神经生理学方面，精神分裂症和心身疾病是彼此相反的情况这一观点。
