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疾病行为与精神病学

Illness behavior and psychiatry.

作者信息

Mayou R

机构信息

Department of Psychiatry, University of Oxford, Warneford Hospital, UK.

出版信息

Gen Hosp Psychiatry. 1989 Sep;11(5):307-12. doi: 10.1016/0163-8343(89)90117-5.

Abstract

The sociologic term illness behavior has been valuable in putting medical and psychiatric concept of illness in a broader perspective. The term is increasingly popular with psychiatrists, who use it in various ways, but particularly for patients who make considerable demands on their doctors. It has been seen as a symptom, a syndrome, or as a dimension. It is useful to see many patients, especially those seen within general hospitals, as suffering from "problems of illness behavior," but some other usages are idiosyncratic and unhelpful. We should avoid arbitrary statements about "abnormality" and ensure that the general term illness behavior is not used as a synonym for consultation behavior. Quantitative assessment requires multiple measures of particular aspects of illness behavior chosen for the particular purpose of the investigation.

摘要

社会学术语“患病行为”在将医学和精神病学的疾病概念置于更广阔的视角方面具有重要价值。该术语在精神科医生中越来越受欢迎,他们以各种方式使用它,特别是用于那些对医生提出诸多要求的患者。它被视为一种症状、一种综合征或一个维度。将许多患者,尤其是综合医院里的患者视为患有“患病行为问题”是有用的,但其他一些用法则是特殊的且并无帮助。我们应避免对“异常”进行随意表述,并确保“患病行为”这一通用术语不被用作咨询行为的同义词。定量评估需要针对调查的特定目的选择对患病行为的特定方面进行多种测量。

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