Tesarz Jonas
Klinik für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Deutschland.
Schmerz. 2024 Dec;38(6):382-389. doi: 10.1007/s00482-023-00787-6. Epub 2024 Jan 30.
This article deals with the interrelationship between body, mind and culture with respect to being healthy and being ill. If one wants to treat not only sickness but also sick people, it is helpful to be aware not only of the somatic and psychological dimensions of a disease but also of the "cultural" dimension of a disease. Based on personal reflections and supplemented by a focused literature search this article provides insights into how cultural influences not only affect the experience of illness but also decide how an illness is dealt with individually and socially. Furthermore, it is shown that not only being sick but also the sick body can be understood in somatic, psychological and cultural dimensions and that a distinction must be made between the body as it physically is and as it is subjectively perceived. Finally, an insight into the complexity of the somatopsychic and psychosomatic interactions is provided in order to derivatively show how mental stress can lead to physical pain and physical pain can become a mental stressor.
本文探讨了身体、心理和文化在健康与疾病方面的相互关系。如果一个人不仅想治疗疾病，还想治疗患病的人，那么不仅了解疾病的躯体和心理层面，还了解疾病的“文化”层面是很有帮助的。基于个人思考并辅以有针对性的文献检索，本文深入探讨了文化影响如何不仅影响患病体验，还决定疾病在个体和社会层面上的应对方式。此外，研究表明，不仅患病，患病的身体也可以从躯体、心理和文化层面来理解，而且必须区分身体的实际状态和主观感知状态。最后，本文深入探讨了身心与心身相互作用的复杂性，以便间接说明心理压力如何导致身体疼痛，以及身体疼痛如何成为心理压力源。
