Fabrega H
Department of Psychiatry, University of Pittsburgh, School of Medicine, PA 15213.
Psychosom Med. 1990 Nov-Dec;52(6):653-72. doi: 10.1097/00006842-199011000-00007.
Somatization is handled as a concept that plays an important role in the contemporary clinical theory and practice of psychiatry and general medicine. A distinct biomedical epistemology and model of illness underlies use of the concept and gives it meaning. First, the nature of the assumptions about the medical problems described by the concept are outlined. Then, some of the cultural and historical aspects of Western medical history that shaped the concept and its epistemology are reviewed. The concept is seen to arise as a consequence of the development of the modern ontological view of disease, the shift in the role ascribed to the nervous system and theoretical developments involving the explanation of psychoses through a descriptive language of psychopathology and bodily states. A discussion of non-Western perspectives of illness is pursued in order to highlight the differences in the conditions that led to the evolution of the concept in Western medicine. Some of the theoretical quandaries associated with the concept are briefly reviewed.
躯体化被视为一个在当代精神病学和普通医学的临床理论与实践中发挥重要作用的概念。该概念的使用有着独特的生物医学认识论和疾病模型，并赋予其意义。首先，概述了关于该概念所描述的医学问题的假设性质。然后，回顾了西方医学史中塑造该概念及其认识论的一些文化和历史方面。该概念被视为现代疾病本体论观点发展、赋予神经系统角色的转变以及通过心理病理学和身体状态的描述性语言解释精神病的理论发展的结果。探讨了非西方的疾病观点，以突出导致该概念在西方医学中演变的条件差异。简要回顾了与该概念相关的一些理论困境。
