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“我没事;你有事”:医学社会化与身心疾病

'I'm OK; you're not': medical socialization and psychosomatic illness.

作者信息

Elks M L

机构信息

Texas Technical University Health Sciences Center, Lubbock 79430, USA.

出版信息

Med Hypotheses. 1997 Jan;48(1):33-6. doi: 10.1016/s0306-9877(97)90021-9.

Abstract

While it is widely recognized that there is universal experience of somatic manifestations of emotional responses, the objective mode used in teaching medical students about medical and psychiatric conditions ignores these common subjective experiences. The usual self-protective mind-set of the student or physician approaching a patient with psychosomatic complaints is often one of 'I'm OK, you're not'. Perhaps by emphasizing a recognition of the universality of psychosomatic experiences with a difference in degree, we can enhance the ability of students to assume an empathic approach to psychosomatic complaints and decrease the stigma felt by patients with such problems.

摘要

虽然人们普遍认识到情绪反应存在躯体表现的普遍体验,但在教授医学生医学和精神疾病时所采用的客观模式忽略了这些常见的主观体验。面对有身心问题主诉的患者时,学生或医生通常的自我保护心态往往是“我没事,你有事”。或许通过强调认识到身心体验的普遍性只是程度上有差异,我们可以提高学生对身心问题主诉采取共情方法的能力,并减少有此类问题的患者所感受到的污名。

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