Brodsky C M
Department of Psychiatry, University of California, School of Medicine, San Francisco 94143.
Occup Med. 1987 Oct-Dec;2(4):695-704.
The clinical ecology subculture, like earlier medical subcultures, is the product of patient concerns that the medical establishment cannot allay by treatment or by reassurance. For social and behavioral scientists, it represents a "natural" experiment that can be studied. For those physicians who believe that clinical ecology is without scientific basis generally and/or that its practitioners interpret laboratory results incorrectly, it is a challenge and an irritant. The clinical ecologist-physician feels rejected and the victim of bias and unfair attack. The patient in this subculture feels that finally he has found someone who understands him and is trying to help him, but that he must pay the price of being disapproved or rejected by his former physicians.
临床生态学亚文化群,如同早期的医学亚文化群一样,是患者担忧的产物,而医疗机构无法通过治疗或安抚来消除这些担忧。对于社会和行为科学家而言,它代表了一个可供研究的“自然”实验。对于那些认为临床生态学总体上缺乏科学依据和/或其从业者对实验室结果解读错误的医生来说,它是一个挑战和刺激因素。临床生态学家兼医生感到被排斥,是偏见和不公平攻击的受害者。处于这个亚文化群中的患者觉得,最终他找到了理解他并试图帮助他的人,但他必须付出被以前的医生不认可或拒绝的代价。