摘要
目的:探讨躯体化现象与躯体形式障碍的病因以及发病机制和临床表现,旨在有效区别躯体化现象与躯体形式障碍与器质性病变的不同之处,为临床及咨询提供相关的理论依据。资料来源:应用网络www.google.com和心理学期刊检索,查阅1980至2005年相关方面的研究文献,检索词:躯体形式障碍(bodyformdisorder),躯体化现象(bodyphenomenon)。资料选择:共查阅到躯体形式表现、身心障碍等相关文献12篇。资料提炼:在12篇文献中,内容呈不同程度重复的有4篇,给予删除。其余8篇进行分类整理,用于综述,其中4篇选为参考文献。资料综合:躯体症状是指在疾病状态下,机体的生理功能发生异常时患者的感受。但在综合医院的门诊中,有相当一部分患者主诉了躯体症状,却无相应的器质性改变;精神科也有许多患者在无任何器质性基础时出现躯体症状,或虽有器质性基础,躯体症状却将机体的异常进行夸张性表现,这就是躯体化症状。结论:躯体化主要是由于社会文化背景即社会人际关系造成的,是表达与应付社会和个人烦恼的手段。它是个体在心理应激反应下,一种体验和表达躯体不适和症状的倾向,这种躯体不适和症状不能用病理来发现。是一种“生物、心理、社会”三方面的演化过程,经由这一过程,用躯体症状来表达和解释个人和人际间的种种问题,且体验成为躯体症状。换言之,诉说的是躯体症状,表达的则是社会、心理方面的问题。
OBJECTIVE： The aim of discussing the etiological factors, pathogenesis and clinical situation of somatization phenomenon and somatoform disorders is to effectively find the differences among somatization phenomenon, somatoform disorders and organic lesion, so as to provide correlated theoretical basis for clinic and consultation. DATA SOURCES： Related investigation papers from 1980 to 2005 were searched in www.google.com and psychological Journals, and the key words were ＂somatoform disorders, somatization phenomenon＂. STUDY SELECTION： Twelve pertinent literatures about somatoform disorders and disorders in body and mind were looked up. DATA EXTRACTION： Of twelve literatures, four repetitive studies were deleted, and the other eight articles were classified to review, four of which were used as references. DATA SYNTHESIS： Somatization symptoms were the perception of patients with organic physiological function disorder under the state of disease. While some patients in clinic of comprehensive hospital chief complainted somatization symptoms but there were no related organic changes; Most patients from Department of Psychiatry got somatization symtoms without organic basis or had exaggerated organic abnormality with organic basis. These were somatization symptoms. CONCLUSION： Somatization is mainly caused by socio-cuhure background, especially human relationship. It is a mean of expressing and dealing with social and personal worriment. It is a tendency to experience and express discomfort and symptoms of body while the individual is under psychological stress. These discomfort and symptoms of body couldn＇t be found in pathology. It is a evolution of organism, psychology and society. Via this process, the somatization symptoms expressed and explained various problems of hunman relationship. In other words, patients tell the somatization symptoms, while the expression is, in fact, the problem of society and pyshology.
出处
《中国临床康复》
CSCD
北大核心
2005年第48期114-115,共2页
Chinese Journal of Clinical Rehabilitation
