Connecting body and mind: The first interview with somatising patients and their families
Connecting body and mind: The first interview with somatising patients and their families
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DOI：
10.1177/1359104512447314
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发表时间：
2013-04-01
影响因子：
1.8
通讯作者：
Savage, Blanche
中科院分区：
文献类型：
--
作者：
Kozlowska, Kasia;English, Margaret;Savage, Blanche
在本文中，我们概述了我们的咨询联络团队为采访那些出现医学上无法解释的症状的孩子的家庭而开发的框架。该框架是我们多年来与大量家庭一起工作的背景下制定的，他们共同教导我们对这些家庭在医疗系统中的经历更加敏感，当我们过早地使用心理语言或有关家庭关系或情感功能的问题时，他们反应强烈。在整个采访过程中，我们始终关注身体：家族病史，特别是孩子症状的故事。我们记录详细的、按时间顺序排列的症状病史，并询问附带信息——家庭疾病、家庭生活事件、学校事件、家庭情绪反应——所有这些都与症状的故事有关。在评估面试和我们的一般工作中，我们关注的是身体。我们非常小心、非常缓慢地从身体转向心理，从谈论身体转向谈论人际关系和心灵。
In this article we outline the framework our consultation-liaison team has developed for interviewing families whose children present with medically unexplained symptoms. The framework was developed over many years in the context of our work with a large number of families, who collectively taught us to be more sensitive with regard to the experience of such families in the medical system, and who reacted strongly when we moved prematurely to the use of psychological language or to questions about family relationships or emotional functioning. Throughout the interview we maintain a focus on the body: the family history of illness and, in particular, the story of the child's symptoms. We take a detailed, temporally ordered history of the symptom and ask for collateral information - family illness, family life events, events at school, family emotional responses - all in relation to the story of the symptoms. In the assessment interview and in our work in general, we focus on the body. We move very carefully and very slowly from the physical to the psychological, from talking about the body to talking about relationships and about the mind.