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“胃的声音”:十九世纪的头脑、疑病症和消化不良理论。

'The voice of the stomach': the mind, hypochondriasis and theories of dyspepsia in the nineteenth century.

机构信息

Tennessee Technological University, USA.

出版信息

Hist Psychiatry. 2021 Mar;32(1):85-99. doi: 10.1177/0957154X20970749. Epub 2020 Nov 11.

Abstract

Physicians and surgeons during the nineteenth century were eager to explore the causes of stomach and intestinal illnesses. Theories abounded that there was a sympathy between the mind and the body, especially in the case of the dyspepsia. The body was thought to have physical symptoms from the reactions of the mind, especially in the case of hypochondriasis. Digestive problems had a mental component, but mental anguish could also result from physical problems. Dissertations from aspiring as well as established physicians probed the mental causes of irritable bowel diseases and other diseases in the medical literature. Healing was thought to come from contextualizing the link between the problems of the mind and the resulting physical problems of the body.

摘要

19 世纪的内科医生和外科医生热衷于探索胃病和肠病的病因。当时有很多理论认为,精神和身体之间存在一种共鸣,尤其是在消化不良的情况下。人们认为身体会因为精神的反应而出现身体症状,尤其是在疑病症的情况下。消化问题有心理成分,但心理上的痛苦也可能是由身体问题引起的。有抱负的医生和已确立的医生的论文都在医学文献中探讨了肠易激综合征等疾病的心理原因。治疗被认为来自于对精神问题与身体实际问题之间联系的背景化处理。

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