Lolas F, Christian P
Psychophysiology Unit, Faculty of Medicine, University of Chile, Santiago.
Z Klin Psychol Psychopathol Psychother. 1990;38(2):146-54.
This paper presents a proposal regarding a concept of mind-body relationships which can be employed in clinical psychosomatics. Taking into account advances in the empirical sciences, it is termed nominalistic or constructivistic correspondence theory. Arguments are developed on the basis of several assertions: a) The "problem" has shifted from an ontologic to an epistemologic one; b) Psychical and somatic spheres are ways of dealing with experiences of an observer-agent which constitute "theories" to account for them; c) Both domains exhibit causal regularities, albeit of a different nature, and their elements show a "semiotic correspondence", not a material interaction. Their bonds stem from relational constructs developed in action, interaction and reflection. The discourses so created can be integrated into theories dealing with clinical phenomena. Differences between the outlined approach and others are pointed out, along with some of its advantages, shortcomings, and applications.
本文提出了一个关于身心关系概念的提议,该概念可用于临床身心医学。考虑到经验科学的进展,它被称为唯名论或建构主义对应理论。论证基于以下几个断言展开:a)“问题”已从本体论问题转变为认识论问题;b)心理和躯体领域是观察者-主体处理构成“理论”以解释这些经验的方式;c)两个领域都表现出因果规律,尽管性质不同,且它们的元素呈现出“符号对应”,而非物质相互作用。它们的联系源于在行动、互动和反思中发展起来的关系建构。如此创建的论述可以整合到处理临床现象的理论中。文中指出了所概述方法与其他方法的差异,以及它的一些优点、缺点和应用。