Society, mind and body in chronic fatigue syndrome: an anthropological view.
Society, mind and body in chronic fatigue syndrome: an anthropological view.
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慢性疲劳综合症中的社会、精神和身体：人类学的观点。
DOI：
10.1002/9780470514382.ch5
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
Ware,NC
中科院分区：
文献类型：
--
作者：
Ware,NC
慢性疲劳综合症的人类学观点将疾病的研究置于社会背景中。对50名慢性疲劳患者进行的访谈研究的数据表明，当地社会世界-家庭，工作场所，社区-与疾病的意义和体验的关系。消极的生活事件和困难、多重承诺和忙碌的步伐是受试者当地世界的突出主题。这些主题反映在：（1）将疾病发作归因于社会来源，（2）疲劳的核心抱怨的象征意义，以及（3）疾病引起的，积极重视的生活方式转变，表明拒绝文化规定的“忙碌”。在论文的第二部分，对身心关系的二分法定义被证明是文化的一部分，而不是自然的一部分。“身心二分法”和自然主义科学范式对身体和心理障碍的不同价值解释了患者的非法经历，他们发现自己的疾病被视为心身疾病，因此“不真实”。慢性疲劳综合征的概念，其中链接当地的社会世界的心理困扰，感觉身体的感觉和生物变化的建议。社会科学家和医学研究人员的合作团队可能会卓有成效地探索与疾病的精神、免疫和病毒层面有关的社会背景。
An anthropological view of chronic fatigue syndrome places the study of illness in social context. Data from an interview study of 50 chronically fatigued patients demonstrate the relation oflocal social worlds—families, workplaces, communities‐to the meaning and experience of illness. Negative life events and difficulties, multiple commitments, and a hectic pace are among prominent themes in the subjects’ local worlds. These themes are reflected in: (1) attributions of illness onset to social sources, (2) the symbolism of the core complaint of fatigue, and (3) an illness‐induced, positively valued lifestyle transformation suggesting the rejection of culturally prescribed ‘busyness’. Dichotomous definitions of the relation of mind and body are shown to be part of culture, not Nature, in the paper's second section. The ‘mind‐body dichotomy’ and the differing values attached to physical and psychological disorders by a naturalistic scientific paradigm explain the delegitimizing experiences of sufferers, who find their illness dismissed as psychosomatic and therefore ‘not real’. A conceptualization of chronic fatigue syndrome which links local social worlds to psychological distress, felt bodily sensation and biological changes is proposed. Collaborative teams of social scientists and medical researchers might fruitfully pursue aspects of social context in relation to psychiatric, immunological and viral dimensions of the illness.