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2010医学博士英语作文题《新兴学科:药物心理学》

2010医学博士英语作文题《新兴学科:药物心理学》
2010医学博士英语作文题《新兴学科:药物心理学》

2010年写作题

新兴学科:药物心理学(pharmacopsychology)

药物作用于人体的病变部位,而病人的心理作用会或多或少地影响药物的作用。为了使药物治疗达到最佳疗效,人们必须研究药物心理学,讲究服药心理。

现代医药学认为:药物大多能产生两种效应。药物通过其药理作用来达到治病的目的,此为药物的生理作用。药物还可通过其非生理作用,在病人的心理上产生良好的感觉,加速疾病的康复,此为药物的心理效应。药物的心理效应可促使药物取得更好的疗效,为治疗奠

定良好的基础。

药物的心理效应是指由医生的威信,病人对药物的信任感,接受药物治疗的体验、评价,治疗时外界的暗示及药物的广告效应等心理共同作用而产生的综合效应。药物心理学正是建立在药物心理效应基础之上的一门新兴边缘学科。众所周知,用同样的药物,由专家、名医开出的则效果会更好,这就是药物心理学最简单而明显的例子。

有人做了一个形象的比喻:药物是治疗疾病的“种子”,而心理状态是种子赖以生长、开花和结果的“土壤”。药物的药理作用是药物治疗疾病的基础,而药物的心理效应则在疾病治疗过程中起着十分微妙的作用。特别是在治疗心因性疾病和心理精神疾病中,良好的心态显得更为重要。

与服药心理关系最密切的是药物的信誉。原因为:虔诚的信念和愉快的心情能影响人体的生理机能,增加肾上腺皮质激素的分泌;而适量的肾上腺素能耐受200~400倍致死量的细菌内毒素。药物的良好信誉,能树立人对药物治病救人的坚定信念。

为什么不良心态会降低药物的生理效应呢?人体是一个复杂的有机整体,不良心态会影响内分泌、心脑血管系统等的功能,从而减弱人体的抗病能力,体内病菌就乘机繁衍滋生,药效当然就降低了。积极的服药心理,可激活内分泌和潜在的免疫功能,药物在免疫器官分泌抗体增多时,能发挥最佳疗效。

药物心理学对人体的作用,在某些人中表现尤为明显:特别是有神经质、意志薄弱、心理缺陷和易受暗示的人。药物心理学揭示了安慰剂止痛和心理安慰的奥秘:安慰剂可通过心理暗示作用刺激大脑产生内源性脑啡肽,其结构类似天然吗啡,作用于疼痛部位,从而减轻疼痛。许多人有以自觉症状为主的慢性病。许多慢性病有明显的自觉症状,如恶心呕吐、头晕目眩、失眠多梦、食欲不振、腹胀和隐痛等,这些症状与心理和精神状态密切相关。而药物的心理作用正是通过心理暗示来调整人的心态,在不知不觉中治愈或缓解了原有的慢性病。

医护人员的语言、举止和行为对病人的用药心理影响很大。目前世界各国对癌症、类风湿性疾病和自身免疫病等尚无特效药。但医生绝不可对患者说:“此病为绝症,无药可治。”如对症适时选用安慰剂,有时会收到真正特效药所没有的神奇作用,至少可解除病人精神上的痛苦,在心灵上得到安慰和鼓励,从而增强战胜疾病的信心。

药物心理学的重要组成部分是暗示疗法和安慰剂。安慰剂通过心理暗示作用而影响病人的心理状态,进而影响机体的生理功能,从而起到积极的治疗作用。现代医学证明:药物心理效应不但具有心理上的安慰作用,而且还有改变器官功能活动和躯体症状的多种作用,故可用于治疗某类躯体疾病及多种心理疾病。

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