精神-soma二分法是否仍然在临床上适合?
Riccardo Torta1, Rossana Botto1, Valeria Giorgi2
1Department of Neuroscience, University of Turin, Italy.
Clinical and experimental rheumatology
|June 28, 2023
概括
这篇文章回顾了历史上的心身关系,表明整合生物心理社会方面和以患者为中心的护理对于有效治疗精神病状况至关重要.
科学领域:
- 医学人文学科 医学人文学科
- 精神病体医学是一种精神病体医学.
- 神经科学是一个神经科学.
背景情况:
- 心灵与身体的关系在医学,哲学和宗教方面有着悠久的历史.
- 精神-soma二分法和精神病学在历史上交替成为主要的临床方法.
- 这两种历史模型在临床实践中都有好处和局限性.
研究的目的:
- 从历史上重新构思思维与身体的关系.
- 提供基于证据的反思精神-soma二分法和精神病学的临床适当性.
- 探索患者护理的综合方法.
主要方法:
- 思想与身体辩论的历史回顾.
- 对当前临床方法的分析.
- 神经科学发现的整合.
- 考虑疾病的生物心理社会方面.
主要成果:
- 神经科学已经缩小了心理和 soma 疾病之间的感知差距,揭示了重叠的发病因子.
- 整体地看待疾病,包括生物心理社会方面,对于防止治疗失败至关重要.
- 目前的模型在临床应用中既有优点,也有缺点.
结论:
- 心理和 soma 之间的历史二分法越来越多地受到科学证据的挑战.
- 为了有效的患者护理,需要采用全面的生物心理社会方法.
- 以患者为中心的护理,与指导方针保持一致,为统一心理和 soma 在临床实践中提供了一个有希望的框架.
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