Brody H, Waters D B
J Fam Pract. 1980 Mar;10(3):445-9.
The diagnostic process not only paves the way for treatment, but also functions as a type of treatment itself. Both behavioral and physical problems can respond to diagnosis properly used as a therapeutic tool. The role of diagnosis in dealing with psychological problems focuses on the ascription of meaning to psychological symptoms through proper diagnosis and effective sharing of that with the patient. The placebo effect is used as a model of how belief and understanding about physical symptoms (derived from the diagnosis) constitute treatment. Finally, it is shown that the meaning which the physician assigns to the disease affects recovery, and a "meaning model" of illness is derived and expanded.
诊断过程不仅为治疗铺平道路,其本身还具有某种治疗功能。行为问题和身体问题都能对恰当用作治疗工具的诊断做出反应。诊断在处理心理问题时的作用集中于通过恰当诊断并与患者有效分享诊断结果,从而赋予心理症状某种意义。安慰剂效应被用作一种模型,用以说明(源自诊断的)对身体症状的信念和理解是如何构成治疗的。最后,研究表明医生赋予疾病的意义会影响康复,并由此推导和拓展出一种疾病的“意义模型”。