被医学分割的身体:“躯体化”概念的问题和启示

Medically Dismembered Body: Problems and Consequences of "Somatization"

精神障碍的＂躯体化＂是指心理冲突受到压抑,转化为身体痛苦表达出来的一种现象。在身心二元医学观下,很多医学无法解释的身体病痛被诊断为躯体化,而患者的痛苦也被认为只是一种心理上的想象。＂躯体化＂这一概念的产生和发展反映了现代实验医学观念对身体的规训。其中,那些无法被分类到现有诊断标准中的身体感受遭到医学的否定,失去了作为躯体疾病主诉的合法性,转而被抛入＂精神障碍＂的范畴中。

The som non that repressed psych atization of mental disorders ological conflicts transformed refers into to the phenome- physical the body-mind dualism of medicine, many medical unexplained phy nesses are diagnosed as somatization, while ered as just p zation reflects sychological imaginations. The pain. In sical ill- the patients＇sufferings are consid- birth and development of somati- the discipline of modern experimental medicine on the body. The body feelings that are denied by medicine cannot be classified into existing diagnostic standards lost the stead of being thrown into the eat legitimacy of being physical complaints, in- egory of mental disorders.