Menéndez Osorio F
An Esp Pediatr. 1980 Dec;13(12):1091-100.
From the intimate relationship between somatic and psychic aspects, certain characteristics of the psychic or psychosomatic symptom in the child are sketched and the evolution from the psychic conflict to the elaboration of an specific symptom. The meaning of the symptom as a language or a means of expression of the child is pointed out, as well as the individual significance of the symptom in each clinical case, avoiding mechanical and reducing schemes. The importance of the "language of the body" in the infant and the symptom as a sign, signifies or symbol or as a unconscious fantasy related to the organ function in the school child. The importance of the first affective contacts in the child as etiopathogenic formations. Some anamnestic guidelines and practical evaluations are developed in each infantile functional disorder. Finally, the need for a deep study of the psychosomatic sphere is emphasized, looking for a balance between an attitude of underevaluation and one of hypertrophy, goal attainable by means of the integration of pediatrician infantile psychiatrists in an interdisciplinary team.
从躯体与心理层面的密切关系出发，勾勒出儿童心理或心身症状的某些特征，以及从心理冲突到特定症状形成的演变过程。指出症状作为儿童的一种语言或表达方式的意义，以及每个临床病例中症状的个体意义，避免机械和简化的模式。“身体语言”在婴儿期的重要性，以及症状作为一种体征、标志、象征或与学龄儿童器官功能相关的无意识幻想的重要性。儿童早期情感接触作为病因形成的重要性。针对每种儿童功能性障碍制定了一些既往史指南和实际评估方法。最后，强调深入研究心身领域的必要性，寻求在低估和过度重视态度之间取得平衡，这一目标可通过儿科医生和儿童精神科医生融入跨学科团队来实现。
