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经典医学从生物学角度研究人类的疾病和健康问题,目前已深入到亚细胞水平和分子水平,并取得辉煌成就,这就是时至今日仍占统治地位的“生物医学模式”。但这一医学模式对与疾病紧密联系的社会、行为和心理方面的因素未给予应有的重视和肯定。近年来人们愈加认识到心理因素和社会因素对疾病发生发展的影响,因此“生物医学模式”扩展成为“生物心理社会医学模式”成为客观必然。据此模式,任何疾病都有心理社会根源,那些由心理因素起主要作用的疾患就是心身疾病,其主要治疗措施是心理疗法。因此,当前心身医学作为一门新兴的医学学科在迅速发展,并日益受到广泛重视。心身医学的现代概念:认为其不是精神病学科的一个分支,它既利用精神病学和神经生物学的知识、概念和原则,同时又利用社会科学、心理科学和行为科学的知识来实现把机体视为统一整体的医疗实践的学科。心身医学包括疾病的心理诊断、心理治疗和心理咨询等,以保护广大人群的心身健康。心身疾病不独属于精神病学科,实际涉及临床学科各个领域。以往医生诊治疾病常常忽视心理社会因素的作用,故常造成医疗无效或疗效暂短。因此,当前一位良好的医生在知识结构上应更符合生物心理社会医学模式的要求,要从体因和心因两方面对疾病进行诊治。本刊发表有关心身医学的文章,以期引起各方面的注意。
Classical medicine to study human diseases and health problems from the biological point of view, has now been deep into the sub-cellular level and molecular level, and achieved brilliant achievements, which is still dominated by today’s “biomedical model.” However, this medical model has not given due attention to the social, behavioral and psychological factors that are closely linked to the disease. In recent years, people are increasingly aware of the impact of psychological and social factors on the occurrence and development of the disease. Therefore, it is imperative to expand the “biomedical model” into a “bio-psycho-social medical model.” According to this model, any disease has its own psychological and social roots. Psychological factors that play a major role in the disease are psychosomatic diseases. The main treatment measures are psychotherapy. Therefore, the current psychosomatic medicine as a new medical discipline is developing rapidly and is receiving more and more attention. The modern concept of psychosomatics admits that it is not a branch of psychiatry that takes advantage of the knowledge, concepts and principles of psychiatry and neurobiology while taking advantage of the knowledge of social sciences, psychosocial and behavioral sciences to Unified holistic medical practice discipline. Psychosomatic medicine includes the psychological diagnosis of diseases, psychotherapy and psychological counseling to protect the general health of the population. Psychosomatic disease does not belong to the psychiatric disciplines, actually involved in all areas of clinical disciplines. In the past, doctors often neglected the role of psychosocial factors in the diagnosis and treatment of diseases, which often resulted in medical invalidation or short-term curative effect. Therefore, at present, a good doctor should be more in line with the requirements of the bio-psycho-social medical model in terms of knowledge structure, and to diagnose and treat the disease both in terms of cause and cause. Articles published psychosomatic articles, with a view to arouse all aspects of attention.