文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

名字里有什么?台湾的自主神经失衡和医学无法解释的症状。

What is in a name? Autonomic imbalance and medically unexplained symptoms in Taiwan.

机构信息

Institute of Science, Technology and Society, National Yang Ming Chiao Tung University, Taipei, Taiwan.

出版信息

Sociol Health Illn. 2021 May;43(4):881-894. doi: 10.1111/1467-9566.13262. Epub 2021 Mar 13.


DOI:10.1111/1467-9566.13262
PMID:33713482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8359945/
Abstract

Medically unexplained symptoms (MUS) are persistent bodily symptoms without known pathology. An unofficial term has recently emerged in Taiwan to accommodate MUS: autonomic imbalance (AI). AI literally refers to disturbances of the autonomic nervous system (ANS) that innervates vital organs. However, AI is variously conceptualised by different parties. This study intends to investigate what is in the name of AI. It draws on available databases and in-depth interviews with AI sufferers and Western and Chinese medicine physicians. Some physicians research ANS functions through heart rate variability measurements. Research findings show that physicians regard AI as a convenient term for clinical communication and a euphemistic substitute for MUS or even psychiatric diagnoses. It is not a 'real thing'. However, AI sufferers treat AI as a bona fide disease, only that it has not been officially classified. AI is therefore an unfaithful translation, or an uncontrolled equivocation, of MUS. The paper concludes by discussing the implications of treating AI as an equivocation. These implications include the limitations of the current diagnostic criteria, the necessity to rethink the dichotomy of mind and body, and the underlying realities exposed or masked by 'diagnosis'.

摘要

未明原因的躯体症状(MUS)是指持续存在的、没有已知病理的躯体症状。台湾地区最近出现了一个非官方术语来涵盖 MUS:自主神经失衡(AI)。AI 字面意思是指支配重要器官的自主神经系统(ANS)的紊乱。然而,不同的人对 AI 的概念理解各不相同。本研究旨在探讨 AI 这个名称所代表的含义。它借鉴了现有的数据库以及对 AI 患者、西方和中医医生的深入访谈。一些医生通过心率变异性测量来研究 ANS 功能。研究结果表明,医生将 AI 视为临床交流的便捷术语,是 MUS 甚至精神科诊断的委婉替代,而不是“真实存在的东西”。然而,AI 患者将 AI 视为一种真实的疾病,只是它尚未被正式分类。因此,AI 是对 MUS 的一种不忠实的翻译,或者说是一种不受控制的模棱两可。本文最后讨论了将 AI 视为模棱两可的含义。这些含义包括当前诊断标准的局限性、需要重新思考身心二分法,以及“诊断”所揭示或掩盖的潜在现实。

相似文献

[1]
What is in a name? Autonomic imbalance and medically unexplained symptoms in Taiwan.

Sociol Health Illn. 2021-5

[2]
[Medically Unexplained Symptoms].

Psychiatr Hung. 2018

[3]
Medically Unexplained Symptoms (MUS): Faults and Implications.

Int J Environ Res Public Health. 2019-4-8

[4]
[The prognosis of medically unexplained symptoms].

Ned Tijdschr Geneeskd. 2017

[5]
Psychiatric characteristics of older persons with medically unexplained symptoms: A comparison with older patients suffering from medically explained symptoms.

Eur Psychiatry. 2020-5-20

[6]
Health-Related Quality of Life in Older Persons with Medically Unexplained Symptoms.

Am J Geriatr Psychiatry. 2016-7-20

[7]
Making and managing medical anomalies: Exploring the classification of 'medically unexplained symptoms'.

Soc Stud Sci. 2020-12

[8]
The distinction between "medically unexplained" and "medically explained" in the context of somatoform disorders.

Int J Behav Med. 2013-6

[9]
[The Chinese expert consensus on clinical practice of "medically unexplained symptoms"].

Zhonghua Nei Ke Za Zhi. 2017-2-1

[10]
Introduction to the special issue on medically unexplained symptoms: background and future directions.

Clin Psychol Rev. 2007-10

本文引用的文献

[1]
"Lumping" and "splitting" medically unexplained symptoms: is there a role for a transdiagnostic approach?

J Ment Health. 2017-6

[2]
Putting a name to it: diagnosis in contemporary society Annemarie Jutel Putting a name to it: diagnosis in contemporary society Johns Hopkins University £23.50 200pp 9781421400679 1421400677 [Formula: see text].

Emerg Nurse. 2011-12-7

[3]
Symptoms as the main problem in primary care: A cross-sectional study of frequency and characteristics.

Scand J Prim Health Care. 2015-6

[4]
The negotiation of the sick role: general practitioners' classification of patients with medically unexplained symptoms.

Sociol Health Illn. 2012-3-5

[5]
Towards a sociology of diagnosis: reflections and opportunities.

Soc Sci Med. 2011-9

[6]
Diagnosis and nosology in primary care.

Soc Sci Med. 2011-5-27

[7]
Neuroculture.

Nat Rev Neurosci. 2009-11

[8]
Medically unexplained symptoms--blurring the line between "mental" and "physical" in somatoform disorders.

J Psychosom Res. 2009-9

[9]
Are somatoform disorders changing with time? The case of neurasthenia in China.

Psychosom Med. 2007-12

[10]
Contested boundaries: psychiatry, disease, and diagnosis.

Perspect Biol Med. 2006

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索