躯体化概念的争议及本土化审视

Controversy about the Concept and Indigenous Reflection of Somatization

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.