Overview: hypochondriasis, bodily complaints, and somatic styles.
Overview: hypochondriasis, bodily complaints, and somatic styles.
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概述：疑病症、身体不适和躯体风格。
DOI：
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发表时间：
1983
影响因子：
17.7
通讯作者：
G. Klerman
中科院分区：
文献类型：
--
作者：
A. Barsky;G. Klerman
疑病症可以用四种方式来概念化：1)一种精神综合征，包括“功能性”躯体症状、对疾病的恐惧、对身体的关注和对医疗的执着追求；2)心理动力学，作为攻击性或口头驱使的衍生品，或作为对内疚或自卑的防御；3)一种对身体感觉及其认知曲解的知觉放大；以及4)一种社会习得的疾病行为，引起人际奖励。这些观点都有证据支持，但还需要更多的调查。作者提出了躯体风格的一般概念--特别是一种放大风格--可用于将症状形成、身体感知和医疗疾病作为一种心理和社会事件来研究。
Hypochondriasis can be conceptualized in four ways: 1) as a psychiatric syndrome composed of "functional" somatic symptoms, fear of disease, bodily preoccupation, and the persistent pursuit of medical care, 2) psychodynamically, as a derivative of aggressive or oral drives or as a defense against guilt or low self-esteem, 3) as a perceptual amplification of bodily sensations and their cognitive misinterpretation, and 4) as socially learned illness behavior eliciting interpersonal rewards. There is evidence supporting each of these views, but much more investigation is needed. The authors propose the general concept of somatic style--in particular, an amplifying style--which could be used to investigate symptom formation, bodily perception, and medical illness as a psychological and social event.