神经症躯体症状的特点与诊断原则

Characteristic and Diagnosis Principle of Somatic Symptoms Associated with Neuroses

作为临床医生,难免与一些难以解释的躯体症状打交道,这其中有些最终可以确定是精神障碍的躯体症状。从躯体症状识别精神障碍,没有捷径可走,除了良好的医学基础,更要了解精神障碍的特点。这样即便是躯体疾病同样存在的情况下,也能发现精神障碍。套用政治术语,叫做"两手抓,两手都要硬"。即便如此,还有一些医学难以解释的症状,其发生基础无论从生物学医学还是精神病学角度都还不清楚,而这正是需要我们着力研究的学科交叉点。

As clinicians, we have to encounter medically unexplained physical symptoms {UPS}, some of which are due to mental disorders. There is no shortcut in identifying mental illness, unless the physician was familiar with both symptoms of physical diseases and features of mental disorders, so as to deal with co--morbid psychiatric problems in patients with physical disease. In Deng Xiaoping＇s words, this is called ＂executing with both hands, both are strong equally＂. Even through, there are some physical symptoms could be explained neither medically nor psychiatrically, where is just the intersection of biomedicine and psychiatry, and should be the focus of future collaborative researches.