整体医学模式下心身医学评估的临床实践  

Psychosomatic assessment to improve clinical practice with integral medical model

作　　者：曹建新[1] 

机构地区：[1]常州市第一人民医院消化内科,213003

出　　处：《中华诊断学电子杂志》2015年第2期50-54,共5页Chinese Journal of Diagnostics(Electronic Edition)

摘　　要：20世纪60年代初,Engel就对疾病的单一生物医学模式和疾病的功能与器质二元分裂观念进行了批判,直到现在人们才逐渐意识到,将器质性疾病作为临床医学和医学研究的重点存在严重不足。某些用生物医学不能解释的病症其实并不是缺乏解释,而是临床工作中生物医学模式下的诊断评估体系存在严重不足,但又缺乏可操作的符合整体医学模式的方法。心身医学为诊断和治疗难处理的医学问题提供了空前多的可能性,充分利用临床计量学的研究弥补了生物医学模式的不足,并极大地改善临床过程,整体医学思维下的个体化方法可能最终改善患者的治疗结果和生活质量。In the early 1960s,the traditional concept of disease and the dichotomy of function/organ within biological medical model were criticized by Engle.However, there is little awareness of the limitation of making organic disease the primary focus of clinical medicine and medical research. It is not that certain disorders lack organic explanations, but our assessment is inadequate in most clinical encounters. Bio-psycho-social medical model has been at theoretical level and been far from clinical practice for lacking of operational strategies or methods.Tile primary aim of psychosomatic medicine is just the incorporation of its operational strategies with clinical practice. Psychosomatic model will offer unprecedented possibility for the identification and treatment of various difficult medical problems. Taking full advantage of clinimetrics methods may be a good remedy for biological model and improve patient＇s clinical course ,final outcome and the quality of life.

关 键 词：疾病 心身医学 临床计量学 诊断标准 

分 类 号：R749[医药卫生—神经病学与精神病学]