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联络精神医学作为一种行为的系统方法。

Liaison psychiatry as a systems approach to behavior.

作者信息

Kimball C P

出版信息

Psychother Psychosom. 1979;32(1-4):134-47. doi: 10.1159/000287381.

DOI:10.1159/000287381
PMID:398997
Abstract

In this overview, the psychosomatic theory is discussed from an evolutionary perspective. From its initial concern with relationship between emotions and physiology through psychopathology and anatomo-physio-pathology to socio-psycho-pathophysiology, psychosomatic medicine and its theory is presently viewed as an empiric science utilizing a number of conceptual approaches derived from developmental psychology, classical psychiatry, physiology, sociology and anthropology. These are applied to the study and care of patients in ambulatory and inpatient settings, which are the arenas of the consultation-liaison activity and may be viewed as the clinical laboratories of psychosomatic medicine. In these laboratories, a new language has developed which is largely phenomenological and which attempts to utilize theoretical concepts from several disciplines in explaining the illness illness phenomenon in the present. As such, the practitioner of Liaison Psychiatry is a general systems analyst who analyzes the illness situation of the patient and his attendants in an attempt to decipher the identified problem, explaining it by utilizing selected theoretical concepts from the basic sciences of behavior. Psychosomatic theory is seen as an evolving and bridging science attempting to integrate and combine particulate theory into a more comprehensive synthesis.

摘要

在本综述中,心身理论从进化的角度进行了探讨。从最初关注情绪与生理之间的关系,历经精神病理学、解剖生理病理学,发展到社会心理病理生理学,心身医学及其理论目前被视为一门实证科学,它运用了许多源自发展心理学、经典精神病学、生理学、社会学和人类学的概念方法。这些方法应用于门诊和住院患者的研究与护理,而这些场所正是会诊联络活动的领域,也可被视为心身医学的临床实验室。在这些实验室里,一种新的语言应运而生,这种语言主要是现象学的,它试图运用多个学科的理论概念来解释当下的疾病现象。因此,联络精神病学从业者是一名一般系统分析师,他分析患者及其照料者的疾病情况,试图解读已确定的问题,并通过运用行为基础科学中选定的理论概念来对其进行解释。心身理论被视为一门不断发展的桥梁科学,试图将微粒理论整合并结合成一个更全面的综合体。

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