本文關(guān)鍵詞：軀體化現(xiàn)象在中西方文化下的解釋模式差異，由筆耕文化傳播整理發(fā)布。

軀體化和心身觀：基于醫(yī)學(xué)哲學(xué)的審視*

責(zé)任編輯：姜瑩　瀏覽次數(shù)：124次

作者信息：
蒙玲蓮(南京中醫(yī)藥大學(xué)基礎(chǔ)醫(yī)學(xué)院　江蘇南京　210023)
孫增坤(上海中醫(yī)藥大學(xué)基礎(chǔ)醫(yī)學(xué)院　上�！�201203)
何裕民△(上海中醫(yī)藥大學(xué)基礎(chǔ)醫(yī)學(xué)院　上�！�201203)

摘要： 軀體化作為一種病痛現(xiàn)象有兩個(gè)核心特征：一是心理不適轉(zhuǎn)化為軀體病痛，二是醫(yī)學(xué)無法以合理的生理病因解釋這類軀體病痛�，F(xiàn)代醫(yī)學(xué)體系下，一般醫(yī)學(xué)學(xué)科把軀體化現(xiàn)象解釋為功能性疾病，精神病學(xué)則將其解釋為精神障礙，這種解讀都折射出心身分離的二元思維觀念�！败|體化”一詞是現(xiàn)代醫(yī)學(xué)二元分裂的產(chǎn)物，是精神病學(xué)對醫(yī)學(xué)無法解釋癥狀的補(bǔ)救性解釋。在中國本土文化背景下，軀體化患者很難接受現(xiàn)代醫(yī)學(xué)體系的二元性解釋，提議臨床上需要心身醫(yī)學(xué)和中醫(yī)學(xué)這兩種力量的介入和整合。

關(guān)鍵字：
軀體化，精神病學(xué)，心身二元，中醫(yī)

中圖分類號：
R-02

文獻(xiàn)標(biāo)識碼：
A

文章編號：
1002-0772(2015)12-0011-04

副標(biāo)題：
Somatization and Mind-body Relation: Reflection Based on Philosophy of Medicine (MENG Ling-lian， SUN Zeng-kun， HE Yu-min.)

Abrtract：
As an illness phenomenon, somatization has two core characteristics including transferring psychological discomforts into physical illness and being inexplicable by physiological causes. In modern medical system, somatization is defined as functional disease by general medicine, but mental disorder by psychiatry, which is a reflection of dualism between mind and body. The term of “somatization” is a product of the division of general medicine and psychiatry, and is a remedial explanation for unexplained symptoms by psychiatry. In China, it is difficult for patients to accept the duality diagnosis of modern medical system. Therefore, it is necessary to integrate psychosomatic medicine and Traditional Chinese Medicine in clinical practice.

Key Words:somatization, psychiatry, mind-body dualism, Traditional Chinese Medicine

Basic Medical College, Nanjing University of  Chinese Medicine, Nanjing 210023, China

參考文獻(xiàn)： [1]　Lipowski Z J.Review of consultation psychiatry and psychosomatic medicine.3.Theoretical issues[J].Psychosom Med,1968,30(4):395-422.
[2]　陳子晨.軀體化現(xiàn)象在中西方文化下的解釋模式差異[D].天津：南開大學(xué),2014：1-5.
[3]　Duffy D L,Hamerman D,Cohen M A.Communication skills of house officers[J].Ann Intern Med,1980,93(2):354-357.
[4]　Gelder M,Harrison P,Cowen P.牛津精神病學(xué)教科書[M].5版.劉協(xié)和,李　濤,譯.成都:四川大學(xué)出社,2010:431-435.
[5]　劉　虹,張宗明,林　輝.新編醫(yī)學(xué)哲學(xué)[M].南京:東南大學(xué)出版社,2010:39-42.
[6]　Kisely S R,Goidberg D P.Physical and psychiatric comoebidity in general practice[J].Br J Psychiatry,1996,169(2):236-242.
[7]　蒙玲蓮,沈春瓊,倪紅梅,等.軀體化概念的爭議及本土化審視[J].醫(yī)學(xué)與哲學(xué),2012,33(8A):4-6.
[8]　陳子晨,汪新建.軀體化的心身交互機(jī)制及其中的文化因素[J].心理科學(xué)進(jìn)展,2015,23(5):849-857.
[9]　漢.疾病與治療:人類學(xué)怎么看[M].禾　木,譯.上海:東方出版中心,2010:92-96.
[10] 何裕民.差異•困惑與選擇：中西醫(yī)學(xué)比較研究[M].沈陽:沈陽出版社,1990:206-208.
[11] 曾文星.心與身的關(guān)系與治療[M].北京:北京醫(yī)科大學(xué)出版社,2002:18-20.
[12] 何裕民.中國傳統(tǒng)精神病理學(xué)[M].上海:上�？茖W(xué)普及出版社,1995:134.
[13] 吳　珩,沈　楠,黃東雅,等.無法解釋的軀體癥狀患者的醫(yī)患關(guān)系研究[J].醫(yī)學(xué)與哲學(xué),2014,35(3B):82-85.
[14] Kirmayer L J,Robbins J M,Dworkind M,et al.Somatization and the recognition of depression and anxiety in primary care[J].Am J Psychiatry,1993,150(5):734-741.
[15] Kirmayer L J.Culture,context and experience in psychiatric diagnosis[J].Psychopathology,2005,38(4)：192-196.
[16] 利文森.心身醫(yī)學(xué)[M].呂秋云,譯.北京:北京大學(xué)醫(yī)學(xué)出版社,2010:中文版序言.

  本文關(guān)鍵詞：軀體化現(xiàn)象在中西方文化下的解釋模式差異，，由筆耕文化傳播整理發(fā)布。