Determination Modes of Cause-and-Effect Relationship in Medical Situation and Somatization: A medical sociological reflection on the standardization of psychiatry

象思维是中国人的传统思维模式,它注重体验联想、以主体意向判定事物之间的联系。这种文化归因模式塑造了中国人特有的身体观、疾病观和治疗观,使得中国人对自身的躯体化求诊方式和躯体形式障碍问题不同于现代西方医学的文化特征。在精神病学诊断的标准化过程中,应结合本民族的文化心理与治疗传统,厘清医学问题的文化脉络,重新定义相关疾病的治疗边界,从而寻找到更适合的躯体化及其他精神疾病的本土化干预途径。

Image thinking is a prototypical Chinese thinking style that emphasizes individual's active association and personal intentionality in the determination of cause-and-effect relationship. This cultural attribution mode has shaped Chinese's mindset on body, disease and treatment, which means the somatic complaints and somatoform disorders of Chinese patients have distinctive features and connotations that differ significantly from the Western medicine. During the process of the standardization of the diagnosing of mental illnesses, it is recommended that practitioners and researchers should consider the cultural psychology and local medical traditions, analyze the cultural context of medical problems, and redefine the boundary of medical treatments to find more practical intervention methods to somatoform disorders and other mental illnesses.

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