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二元论对精神病学中可治疗性认知的影响。

Impact of dualism on the perception of treatability in psychiatry.

作者信息

Latoo Javed, Mistry Minal, Alabdulla Majid, Jan Farida, Shariful Islam Sheikh Mohammed, Iqbal Yousaf, Howseman Tom, Riley David, Munshi Tariq, Firdosi Mudasir, Sura Daljit, Wadoo Ovais

机构信息

Department of Psychiatry, Hamad Medical Corporation, Qatar.

College of Medicine, Qatar University, Doha, Qatar.

出版信息

Qatar Med J. 2025 Jun 9;2025(2):34. doi: 10.5339/qmj.2025.34. eCollection 2025.

Abstract

A false division between mental and physical disorders is supported by dualism, contributing to mental health stigma. There is a widespread misconception about the prognosis and treatment options for psychiatric diseases. This is despite data supporting the effectiveness of psychiatric treatments for a variety of illnesses that have been proven by meta-analysis. In general, the efficacy of drugs used to treat physical problems and psychiatric disorders is comparable. In this article, experts from a variety of fields-including psychiatry, primary care, and general medicine-highlight how the paradigms based on dualism play a crucial role in maintaining the myths regarding psychiatric disorders, particularly those that relate to their treatability in comparison to physical health conditions. There are numerous similarities between mental and physical problems in terms of the causes andtreatment. Healthcare, like other complex human systems, is rife with uncertainty. In actuality, the severity and treatability of both physical and mental diseases range widely. Treatment response varies from person to person. There are certain physical and mental health disorders that respond well to treatment, some that do not, and some for which there are currently no effective cures. We believe that dualism, which promotes the separation of mental and physical phenomena, is the core driving force behind these misconceptions. These fallacies, in our opinion, are primarily motivated by dualism, which advocates the division of mental from physical occurrences.

摘要

二元论支持精神障碍和身体障碍之间的错误划分,这加剧了对心理健康的污名化。对于精神疾病的预后和治疗选择存在广泛的误解。尽管荟萃分析已证明有数据支持精神科治疗对多种疾病的有效性,但情况依然如此。一般来说,用于治疗身体问题和精神障碍的药物疗效相当。在本文中,来自包括精神病学、初级保健和普通医学等多个领域的专家强调,基于二元论的范式在维持有关精神障碍的错误观念方面起着关键作用,尤其是那些与精神障碍相对于身体健康状况的可治疗性相关的错误观念。在病因和治疗方面,精神问题和身体问题存在许多相似之处。医疗保健与其他复杂的人类系统一样,充满了不确定性。实际上,身体疾病和精神疾病的严重程度和可治疗性差异很大。治疗反应因人而异。有些身心健康障碍对治疗反应良好,有些则不然,还有一些目前没有有效的治愈方法。我们认为,促进精神现象和身体现象分离的二元论是这些误解背后的核心驱动力。在我们看来,这些谬误主要是由二元论驱动的,二元论主张将精神现象与身体现象分开。

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