Muecke M A
West J Med. 1983 Dec;139(6):835-40.
Healing is the alleviation of sickness, which includes both medically defined problems of pathophysiology (disease) and personal definitions of not being well (illness). Refugees from Southeast Asia now have a special need for healing because their health problems are changing from those of concern to public health, which are well documented and for which there are known effective treatments, to those that are primarily a personal concern and that are difficult to diagnose and treat effectively because of their chronic nature and their cultural and emotional components. The finding among refugees of physical complaints for which there is no identifiable medical cause is explained by cultural tendencies in Southeast Asia that promote focusing on somatic symptomatology, and by a delayed somatic response to refugee trauma. To prevent escalation of medical intervention, physicians need to be sensitive to Southeast Asians' attitudes toward health and their expectations and apprehensions regarding Western medicine.
康复是疾病的减轻，这既包括医学上定义的病理生理学问题（疾病），也包括个人对身体不适的定义（病症）。东南亚难民现在对康复有特殊需求，因为他们的健康问题正从那些受公共卫生关注、有充分记录且有已知有效治疗方法的问题，转变为主要是个人关切的问题，这些问题由于其慢性性质以及文化和情感因素而难以有效诊断和治疗。在难民中发现一些无法确定医学病因的身体不适，这可以用东南亚地区倾向于关注躯体症状的文化趋势，以及对难民创伤的延迟躯体反应来解释。为防止医疗干预升级，医生需要对东南亚人对健康的态度以及他们对西医的期望和担忧保持敏感。
