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心身理论对健康的修辞与现实:对生物医学的挑战?

The rhetoric and reality of psychosocial theories of health: a challenge to biomedicine?

机构信息

UMDS, University of London, UK.

出版信息

J Health Psychol. 1997 Jan;2(1):21-9. doi: 10.1177/135910539700200103.

DOI:10.1177/135910539700200103
PMID:22012794
Abstract

Textbooks in health psychology and medical sociology describe these disciplines as a challenge to the biomedical model. In particular, they purport to contest biomedicine's concepts of illness causality, a dualistic individual and outcomes. This article examines support for this 'rhetoric' and examines the discrepancy between the stated aims of these disciplines and the 'reality' of their explanatory frameworks. In addition, this discrepancy is analysed in terms of the implicit acceptance and privileging of a biomedical perspective within psychosocial theories. The article then examines explanations for this discrepancy first in terms of the potential function of the 'rhetoric' and then in terms of the reflections of this rhetorical challenge in the construction and dissolution of the boundaries of the human body.

摘要

健康心理学和医学社会学的教材将这些学科描述为对生物医学模式的挑战。特别是,它们旨在挑战生物医学关于疾病因果关系、二元个体和结果的概念。本文考察了对这种“修辞”的支持,并考察了这些学科的既定目标与其解释框架的“现实”之间的差距。此外,还根据心理社会理论中对生物医学观点的隐含接受和优待来分析这种差距。然后,本文首先从“修辞”的潜在功能,然后从这种修辞挑战在人体边界的构建和消解中的反映来解释这种差距。

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