Somatization in Social and Cultural Perspective : From research to clinical strategies
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- Laurence J.Kirmayer
- Professor and Director of Division of Social and Transcultural Psychiatry, McGill University
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- 中嶋 照夫
- 仏教大学社会学部社会福祉学科
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- 中村 道彦
- 京都府立精神保健福祉総合センター
Bibliographic Information
- Other Title
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- 社会ならびに文化からみた身体化 : 研究から臨床実践まで(第37回日本心身医学会総会)
- 社会ならびに文化からみた身体化--研究から臨床実践まで
- シャカイ ナラビニ ブンカ カラ ミタ シンタイカ ケンキュウ カラ リンショ
Search this article
Abstract
Somatization refers to a process of expressing emotional or psychological distress through somatic symptoms. In psychiatric nosology, the somatoform disorders are characterized by medically unexplained somatic symptoms and may include many patients with functional somatic syndromes due to physiological disturbances. The cross-cultural applicability of the concept of somatization and its relationship to mood and anxiety disorders are discussed. In many cases somatic symptoms form parts of cultural "idioms of distress" ordinary ways of talking about the body and social problems that may not be pathological. When somatic symptoms intensify and persist, however, they become problems in their own right. An integrative model of persistent somatization is outlined in which constitutional, cognitive and social factors amplify bodily distress and lead to help-seeking and disability. Symptom attributions which are influenced by cognitive style, previous illness experience and cultural models of illness behavior and disease have been shown to contribute to somatization. Viewed in social and cultural context, somatic symptoms have multiple levels of potential meaning. This sociocultural perspective leads to innovative clinical strategies for alleviating somatic distress.
Journal
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- Japanese Journal of Psychosomatic Medicine
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Japanese Journal of Psychosomatic Medicine 37 (5), 311-319, 1997
Japanese Society of Psychosomatic Medicine
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Details 詳細情報について
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- CRID
- 1390001204884926336
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- NII Article ID
- 110001121948
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- NII Book ID
- AN00121636
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- ISSN
- 21895996
- 03850307
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- NDL BIB ID
- 4229053
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed