[Mechanisms of somatization in psychosomatic pathology].

J F Allilaire
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Abstract

The notion of psychosomatic disorder will be given preference over that of disease as we believe it most important to identify the mechanism of somatization which underlies and commands the formation of polyvalent and polymorphic symptoms. The practitioner's first task is not to mistake the different mechanisms of somatization. This relies on the quality of the physical examination and the appositeness of the organic workup. It rests on demonstration of the psychosomatic connection by painstaking elicitation of the case history. The purpose is to make the patient himself aware of the psychosomatic nature of his distress and capable of an understanding attitude towards his own symptoms. It is this process that will allow the patient to turn towards a specific mechanism, rather than the clinical presentation of the symptom strictly speaking, or even the identifiable personality characteristics which in many cases are only suggestive. Similarly, it is this identification of mechanisms which will enable the practitioner to implement the appropriate therapeutic strategy.

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[心身病理中的躯体化机制]。
心身障碍的概念将优先于疾病的概念,因为我们认为最重要的是确定躯体化的机制,它是多价和多态症状形成的基础和命令。练习者的首要任务是不要误解躯体化的不同机制。这取决于体格检查的质量和有机检查的适当性。它依赖于通过对病例历史的艰苦引出来证明心身联系。目的是使病人自己意识到他的痛苦的心身性质,并能够对自己的症状有一种理解的态度。正是这个过程将使患者转向特定的机制,而不是症状的临床表现,甚至是在许多情况下只是暗示性的可识别的人格特征。同样,正是这种机制的识别将使医生能够实施适当的治疗策略。
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[Follicular dysplasia]. [Mitral stenosis]. [Systemic periarteritis nodosa associated with monoclonal gammapathy. 4 cases]. [Osteoradionecrosis in adults]. [In vitro study of strains of Staphylococcus: choice of an antibiotic].
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