Thommen M, Blaser A, Ringer C, Heim E
Psychiatrische Universitätspoliklinik Bern.
Psychother Psychosom Med Psychol. 1990 May;40(5):172-7.
Subjective illness concepts mean the more or less comprehensive psychological explanations about causes and functions of actual psychosocial problems by the patient. These concepts historically arise from interactions with the social environment. In respect to the actual situation they are constructed in a new way. They aim at monitoring the individuals' experience of being ill or healthy. Often they don't accomplish this aim because they are deficient for many reasons. In the therapeutic situation the patient is confronted with the scientific theories of his therapist. Both concepts represent different perspectives of the same problem. However, both have to be discussed in a cooperative manner and ultimately result in a complementary view which we denote as an important issue for our problemoriented therapy.
主观疾病概念是指患者对实际心理社会问题的原因和功能或多或少全面的心理学解释。这些概念在历史上源于与社会环境的相互作用。就实际情况而言,它们以一种新的方式构建。它们旨在监测个体患病或健康的体验。但由于多种原因,它们往往无法实现这一目标。在治疗情境中,患者会面对治疗师的科学理论。这两种概念代表了同一问题的不同视角。然而,两者都必须以合作的方式进行讨论,并最终形成一种互补的观点,我们将其视为我们以问题为导向的治疗中的一个重要问题。