Kradin Richard L
Boston, USA.
J Anal Psychol. 2011 Feb;56(1):37-55. doi: 10.1111/j.1468-5922.2010.01889.x.
Psychosomatic disorders represent a therapeutic conundrum. Despite compelling evidence to suggest the integrity of mind and body, humans are famously prone to experiencing them as separate. This paper explores the scientific challenges posed by psychosomatic disorders and how changing cultural notions contribute to their perplexing presentations. Excerpts of cases from patients with chronic pelvic pain, chronic fatigue, and a factitious disorder are presented as examples of the challenges that these patients pose in analysis. An explanatory model of mind/body interaction based on early maternal-infant interactions and the placebo response complex is proposed as the basis for how psychosomatic pathologies may develop. Finally, therapeutic approaches to the psychological treatment of patients with psychosomatic issues are considered.
身心障碍是一个治疗难题。尽管有确凿证据表明身心的整体性，但众所周知，人类往往将身心视为相互分离的。本文探讨了身心障碍带来的科学挑战，以及不断变化的文化观念如何导致其令人困惑的表现。列举了慢性盆腔疼痛、慢性疲劳和一种做作性障碍患者的病例摘录，作为这些患者在分析中所带来挑战的示例。提出了一种基于早期母婴互动和安慰剂反应复合体的身心互动解释模型，作为身心病理学可能如何发展的基础。最后，考虑了针对身心问题患者的心理治疗方法。
