Lee S
Department of Psychiatry, The Chinese University of Hong Kong, Shatin.
Psychosom Med. 1998 Jul-Aug;60(4):448-57. doi: 10.1097/00006842-199807000-00010.
To study the sociocultural transformation of neurasthenia (shenjing shuairuo, SJSR), as both disease and illness, in Chinese society.
This is based on a critical review of evidence drawn from the psychiatric and anthropological literature, and the use of a single case study.
SJSR remains a ubiquitous illness in socio-politically different Chinese societies, but the Americanization of Chinese psychiatry has paradoxically made the "same" disease category languish rapidly in professional practice. Although it engages bodily modes of attention, SJSR is far from being a physical, somatoform, or chronic fatigue disorder.
Psychiatric disease and illness do not run a "natural" course independent of social and historical contexts. SJSR usefully muddles the Cartesian mind-body dichotomy and is readily compatible with psychosocial manifestations and explanatory models. From a sociosomatic perspective, the embodied world of SJSR may arbitrate as well as critique the conjunctures of large-scale political, economic, and moral transformations in Chinese communities. These macrosocial forces and their local manifestations need to be considered in deriving a cross-culturally valid paradigm of psychosomatic medicine.
研究神经衰弱（神经衰弱，SJSR）在中国社会中作为一种疾病和病症的社会文化转变。
这基于对来自精神病学和人类学文献证据的批判性综述以及一项单病例研究的运用。
在社会政治情况各异的中国社会中，神经衰弱仍然是一种普遍存在的病症，但具有矛盾意味的是，中国精神病学的美国化使得“相同”的疾病类别在专业实践中迅速衰落。尽管神经衰弱涉及身体的关注方式，但它远非一种身体疾病、躯体形式障碍或慢性疲劳综合征。
精神疾病和病症并非独立于社会和历史背景而遵循“自然”进程。神经衰弱有效地模糊了笛卡尔式的心身二分法，并且很容易与心理社会表现及解释模型相契合。从社会躯体角度来看，神经衰弱的具身世界既可以对中国社区大规模政治、经济和道德变革的结合点进行评判，也可以对其进行批判。在得出具有跨文化有效性的心身医学范式时，需要考虑这些宏观社会力量及其局部表现。
