評論
打印
HELP WITH FAMILY INTERACTIONS
了解家庭關系
The woman who comes into her physician's office with a history of fatigue, listlessness,inability to sleep, and irritability may be describing the early symptoms of a morbid disease.
進入醫生辦公室的這位女性患者擁有疲勞史，精神萎靡，并患有失眠癥和煩躁癥，這位病患或許還會描述她疾病的早期癥狀。
She may, however, be showing signs of depression secondary to her inability to cope any longer with an alcoholic husband,
或許，由于她無力應對酗酒的丈夫，
with a teenage son addicted to cocaine,or with an elderly mother for whom she must care.
吸毒成癮的孩子，以及她必須要照顧的老母親而顯出抑郁狀態。
The wise physician considers organic pathology but also realizes that presenting symptoms may be only part of what is really troubling the patient.
睿智的醫生認為應該運用器官病理學的方法來治療，但是醫生又意識到目前所展現的癥狀或許僅僅是煩惱病患的一部分。
This requires an unusual sensitivity and an ability to pursue in a cautious, understanding,and careful way and to listen to the concerns and needs the patient describes--traits, again, that can and must be developed and practiced.
這就需要醫生非常敏感并且能小心謹慎、善解人意、細致入微地去探尋并傾聽病人的憂慮和需求,醫生的這些能力能夠且必須加以完善和實踐。
The physician's role is to help the patient understand the connections between unpleasant situations, emotional disturbances, and organic symptoms.
醫生的角色就是要幫助病患了解不良狀況、情緒困擾以及身體癥狀之間的聯系。
Sometimes patients are helped simply by understanding those relationships and being aware that the doctor appreciates them and reassures, listens with a sympathetic ear, and seldom advises in a direct way, but does express concern.
有時候，幫助病人只需要讓他們知道這三者之間的關系并意識到：醫生了解他們，愿意安慰和傾聽他們，很少直言相勸、卻能表達關心之情。
In earlier days, when most medical care was delivered at home, the physician was quickly made aware of living situations and family interactions,if he or she did not already know the entire family and their circumstances.
早些時候，當時絕大多數醫生都會在病人家中進行醫護治療，如果醫生并沒有完全了解病患的家庭和環境狀況，那么醫生也會很快察覺到病患的生活狀況以及家庭關系。
Today when the patient comes to the office, generally alone and certainly out of socioeconomic context, it is much more difficult to perceive what is going on.
如今，病患來到醫生的辦公室，通常病患會獨自一人來，完全無法得知病患的社會經濟背景，醫生就很難做出正確的判斷。
The physician must exercise a much greater degree of skill and understanding in exploring family interrelationships during a history and physical examination or in an even shorter visit.
通過既往史，體檢甚至是通過簡短拜訪的方式，醫生必須要提高他們了解家庭關系的技能。
譯文屬可可英語原創，未經允許，不得轉載。
