Lolas F
Department of Psychiatry, Faculty of Medicine, University of Chile, Santiago.
Psychother Psychosom. 1989;52(4):214-9. doi: 10.1159/000288327.
In this paper, a plea is made for establishing the dimension communication of emotional meaning as a descriptive axis in biopsychosocial diagnosis. Studies on alexithymia and somatic illness suggest that this dimension possesses not only diagnostic implications but also prognostic and therapeutic ones. A transactional viewpoint considering the definitions and expectations of patients, professionals and society would convert multiaxial into multidimensional diagnosis adapted to a given culture. Somatoform disorders are taken as illustration of the usefulness of the proposed dimension for further research and theorizing.
本文呼吁将情感意义的维度沟通确立为生物心理社会诊断中的一个描述轴。关于述情障碍和躯体疾病的研究表明，这一维度不仅具有诊断意义，还具有预后和治疗意义。从患者、专业人员和社会的定义与期望出发的交互观点，将把多轴诊断转变为适应特定文化的多维诊断。躯体形式障碍被用作例证，来说明所提议的维度对于进一步研究和理论化的有用性。
