躯体化的心身交互机制及其中的文化因素

基于神经生物学的心身交互作用是当前躯体化病理机制的一个研究重点。在生理-心理的功能连续体中, 认知学习、感觉监控、注意、记忆过程等都会影响躯体症状的呈现。文化则会通过这些过程塑造个体对症状的归因和解释, 引发躯体症状的呈现和扩大, 最终通过不同文化特有的民族生理学模式形成具有文化特异性的疑病焦虑和医学无法解释症状。

Psychosomatic Mechanism of Somatization and the Effects of Culture

Current researches of pathological mechanism of somatization focus on psychosomatic interactions based on neural biology. In a psycho-physiological functional continuum, the presentation of somatic symptoms comes from the process of cognitive learning, attention, memory, sensations monitor and so on. Through those processes, culture can shape the individual’s attribution and interpretation of the symptoms, therefore can affect the presentation and expand of somatic symptoms, and finally form cultural specific hypochondria and medically unexplained symptoms through the ethno-physiology modes of different cultures.