Wong C K
Department of Psychiatry, Chinese University, Hong Kong.
Can J Psychiatry. 1988 Nov;33(8):751-3. doi: 10.1177/070674378803300814.
A Chinese boy in Hong Kong who vomited for 14 months after his father had gone abroad to work is reported. Despite the very obvious predicament and sadness, more than 30 doctors had failed to understand the patient. In their search for a disease to explain the symptom, they trapped both themselves and the patient in the symptom of vomiting. It is argued that this patient should have been understood not from the angle of the traditional medical model. Neither was the psychoanalytical model useful. Rather the communication model of hysteria is much more practical; the vomiting can be construed as the unseen tears of a boy entrenched helplessly in his predicament. These unseen and unrecognized tears had cost the patient 14 months of precious life.
据报道，香港有一个中国男孩，在他父亲出国工作后呕吐了14个月。尽管情况非常明显地令人为难和悲伤，但30多位医生都未能理解该患者。在寻找一种疾病来解释症状的过程中，他们让自己和患者都陷入了呕吐的症状中。有人认为，理解这个患者不应从传统医学模式的角度出发。精神分析模式也没有用。相反，癔症的沟通模式要实用得多；呕吐可以被理解为一个无助地陷入困境的男孩看不见的泪水。这些看不见且未被认识到的泪水让患者付出了14个月宝贵生命的代价。
