Modlin H C
Bull Am Acad Psychiatry Law. 1986;14(3):263-71.
The concept of compensation neurosis developed in the wake of the nineteenth century Industrial Revolution and subsequent enactment of workmen's compensation laws. The nosologic designation of traumatic neurosis was not consensually accepted until after World War II; the compensation label was epithetically applied as a simplistic explanation of puzzling postaccident disability. In diagnostic evaluation of postaccident symptoms not attributable to tissue damage; these factors are relevant: secondary gain and loss; alteration in family dynamics; iatrogenic influences, particularly from industrial medical departments; liberalization of workmen's compensation laws; the symbolic significance of money in our culture; the climate of creeping socialism. One consequence stemming from the conceptualization of a compensation neurosis is implicit adherence to the anachronistic mind-body dichotomy.
补偿性神经症的概念是在19世纪工业革命以及随后的工人赔偿法颁布之后形成的。直到第二次世界大战之后，创伤性神经症的疾病分类才得到普遍认可；补偿这一标签被用作对事故后令人费解的残疾现象的一种简单化解释。在对并非由组织损伤引起的事故后症状进行诊断评估时，这些因素是相关的：继发性获益与损失；家庭动态变化；医源性影响，尤其是来自工业医疗部门的影响；工人赔偿法的放宽；金钱在我们文化中的象征意义；渐进社会主义的氛围。补偿性神经症概念化所产生的一个后果是隐含地坚持过时的身心二分法。
