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临床医生由于长期受到生物医学模式概念的影响,在临床工作中往往重视生物因素以及理化因素的致病作用,而忽视心理社会因素对某些疾病所起的作用。例如在采取病史时,未能反映出病人作为社会中的一个成员在复杂的社会生活中的遭遇、内心冲突及创伤等。当然更不能了解病人的个性特征以及心理社会因素与疾病发生的内在联系。在治疗措施上,也忽视了心理治疗。近30年来的研究指明,由于生物因素(如感染)所致的疾病有明显下降,而与心理社会因素有关的原发
Because of the long-term influence of the concept of biomedical model, clinicians often attach importance to biological factors as well as pathogenic effects of physical and chemical factors in clinical work, while neglecting the role of psychosocial factors in certain diseases. For example, when taking a medical history, it fails to reflect the patient’s experience as a member of society in complicated social life, inner conflicts and trauma. Of course, can not understand the patient’s personality characteristics and psychological and social factors and the inherent relationship between the disease. In the treatment, but also ignored the psychological treatment. Nearly 30 years of research have shown that due to biological factors (such as infection) caused by a significant decline in the disease, and psychosocial factors related to the primary