躯体化概念的争议及本土化审视  

Controversy about the Concept and Indigenous Reflection of Somatization

作　　者：蒙玲莲[1] 沈春琼[1] 倪红梅[1] 沈红艺[1] 何裕民[1] 

机构地区：[1]上海中医药大学,上海201203

出　　处：《医学与哲学（A）》2012年第8期4-6,48,共4页Medicine & Philosophy:Humanistic & Social Medicine Edition

基　　金：国家"十一五"科技支撑计划重点项目课题"亚健康状态的测量及诊断标准研究";项目编号:2006BAI13B01;上海市卫生局科研课题"治未病思想与中医健康管理范例研究";项目编号:2010227;上海市教育委员会资助项目"亚健康状态心身相关性的因果关联分析和模型化研究";项目编号:2010JW29

摘　　要：两种认识躯体化的方式值得关注:一是继发于精神痛苦的现象;一是以医学无法解释的症状为特征的基本现象。躯体化概念受到争议的根本原因,即其基于西方心身二元论的特征。本土背景下,躯体化应理解成一种普遍且正当的求医理由与症状诉说方式,应该更多倾向于临床评估与治疗。Two ways of looking at somatization are noteworthy：somatization as a phenomenon that is secondary to psycho- logical distress or as a primary phenomenon characterized by medically unexplained symptoms. The concept of somatization has been controversial,because it is based on the mind-body dualism characteristic of Western medicine inherently. In Chi- na, somatization should be acknowledged as a natural and legitimate basis for medical help and way of symptom expression. We should be more inclined to focus on indigenous clinical assessment and treatment.

关 键 词：躯体化 心身二元 心身合一 

分 类 号：R-02[医药卫生]