Meissner W W
Psychoanalytic Institute of New England East.
Bull Menninger Clin. 2006 Fall;70(4):295-315. doi: 10.1521/bumc.2006.70.4.295.
Psychosomatic medicine has been historically an important focus for psychoanalytic theorizing. The mind-body relation has special relevance for understanding psychosomatic conditions because psychological and psychodynamic factors are so intimately intertwined with physiological parameters that they cannot for all practical purposes be disentangled. Dualistic impressions of mind and body have given way to more integrated perspectives in which psychic and bodily processes are conceived of as operating within the same conceptual framework. Implications of a more integrated view of the mind-body relation are discussed in relation to emotions and psychosomatic symptoms, development of psychosomatic vulnerabilities, somatization, and alexithymia.
从历史角度来看,心身医学一直是精神分析理论化的一个重要关注点。身心关系对于理解心身状况具有特殊的相关性,因为心理和心理动力学因素与生理参数紧密交织,以至于在所有实际应用中都无法将它们区分开来。身心二元论的观念已让位于更综合的观点,在这种观点中,心理和身体过程被认为是在同一个概念框架内运作的。本文将结合情绪与心身症状、心身易损性的发展、躯体化以及述情障碍来讨论身心关系更综合观点的影响。