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Directions:Inthispart,youwillhave15minutestogooverthepassagequicklyandanswerthequestionsonAnswerSheet1.
Forquestions1-7,mark
Y(forYES)ifthestatementagreeswiththeinformationgiveninthepassage;
N(forNO)ifthestatementcontradictstheinformationgiveninthepassage;
NG(forNOTGIVEN)iftheinformationisnotgiveninthepassage.
Forquestions8-10,completethesentenceswiththeinformationgiveninthepassage.
TheInteractionofBodyandMind
Theconceptofpsychosomaticillness
Psycho,referstomind,andsoma,tobody.Psychosomaticillnessistheoccurrenceofbodilysymptoms(症状)whicharepsychologicaloremotionalinorigin.
Mindandbodyarenotseparate;oneaffectsandisaffectedbytheother.Whohasnotexperiencedsomephysicalmanifestationofemotionalstress?Suchexperiencesasaheadacheafteraquarrelandurinaryfrequencyordiarrheabeforeanexaminationarenotuncommon,andformostpeopletheyareofatemporarynature.Thesymptomsdisappearandareforgottenafterthecrisishaspassed.Notreatmentmaybeneeded,orthepatientmayusesimpleremediestorelievethediscomfort.Onepersonmayfindthataleisurelywalkisthebestcureforaheadache;anothermaytakeaspirin.
Certainconditionshavebeenconsideredclassicexamplesofpsychosomaticillness:pepticulcer,eczema,colitis,andasthma.Personalityprofileshavebeendevelopedtodescribethetypicalcharacteristicsofpersonswhodevelopsuchillness.Anotherpointofviewisthathumanbeingsaremorecomplexandvariedintheirresponsesthansuchprofileswouldindicate,andthatthetypeofillnessapatientdevelopsinrelationtostressvarieswithmanyadditionalfactors,suchasheredityandenvironment.Muchremainstobelearnedabouttherelationshipbetweenstressandphysicalillness.
Physicalsymptoms,suchaspalpitation,sweating,ordisturbanceofsleep,whichreflectanxiety,mayoccuroveraprolongedperiod.Thesymptomsmayseemmysteriousandthreatening,becausethepatientisunawareoftheircause.Thepatientwhoseheartbeatsmorerapidlyandforcefullyasamanifestationofanxietymayreportthissymptomtohisdoctor,believingthatsomethingiswrongwithhisheart.Oftenthepatientisnotawarethatheisanxious.Heknowsonlythathisheartkeepspoundingfornoapparentreason.
Almostanysymptomcanhaveitsorigininemotionalstress.Somepatientsalmostinvariablyhavethesamestresswhentheybecomeanxious.Onemayhavediarrhea,anotherasthma,andathirdmaydevelophivesoreczema.Somepeopledeveloptwoorseveraldifferentsymptoms;oftenthesymptomsareexperiencedinanalternatingfashion.
Thedevelopmentofbodilysymptomsisonlyonemanifestationofanxiety.Itmayshowupalsosymptomsthatareprimarilymental,suchastheinabilitytoconcentrateortoremember.Suchsymptomtoo,varyindegree.Manypeopleoccasionallyexperiencesymptomslikemoodinessordepression.Whensuchsymptomsaresevereorlong-lasting,theyinterferewiththefunctioningofindividualindailylifeandwithhisrelationshipwithothers.
Sometimesapersonsubconsciouslydevelopsanillnessasawayofhandlingadesperateneed,suchastheneedforaffection.Theonlyrealcureistosatisfytheprimarydesire.Anexampleisawomanwhohaspaininherheart,notbecauseoforganicheartdisease,butbecausethesymptomisawayofgaining,ifonlytemporarily,theloveandattentionforwhichshelongs.Herhusbandcannotleaveherwhensheissosick;herchildrenareconcerned.Herpainisjustassevereasifithadaphysicalcause.
Therealityofpsychosomaticillness
Isthepatientwithpsychosomaticillnessreallysick,ordoeshemerelyimagineheissick?Manypeople,includingthefamiliesofpatientsandmembersofthehealthprofessions,believethatphysicalillnesswhichisinfluencedbyemotionalstressislessreal,orwhollyimaginary.Acknowledgingtherealityofthepatients'illnessisimportant;itisthefirststepinhelpinghim.
Patientswithpsychosomaticillnessarelikelytobeneglected.Thesamestaffwhogiveexcellentcaretootherpatients,notuncommonlyignorethem.Somepossiblereasonsmayincludetheuseofthetermpsychoasaprefix.Perhapsthisconveystheideathatsuchpatientsarementallyiii,andthereforehavenophysicalillness.Perhapstheyareconsideredweaklings.Onehearscommentslike,"Hecouldsnapout(克服)ofitifhewantedto."Prejudiceagainstthesepatientsmaybeduetoabeliefthattheyarepretendingillnessinanattempttogetattentionorfavors.
Apatientwithpsychosomaticillnessmaybeconfusedwithamalingerer,onewhodeliberatelypretendsillnessinordertoachievesecondarygain,suchasfinancialcompensationorexcusefromwork.Pretendingillnessisconsideredanunhealthyandunsatisfactorysolutiontotheproblemsoflife.Oftenitaddstothepatient'sdifficulties,ashemakeselaborateattemptstoavoiddetection.Amalingerercanbehelpedsometimestofindwaysofcopingwithdifficulties.Theessentialdifferencebetweenpsychosomaticillnessandmalingeringisthatthemalingererpretendssymptoms.Itisaconsciousprocessandheisawarethatheispretendingtobesick.Thepatientwithpsychosomaticillnessdevelopssymptomsasmanifestationoflargelyunconsciouspsychicconflicts.Thesymptomsarereal.
Condemnation(责难)ofthepatientwithpsychosomaticillnesscanpersistdespiteintellectualunderstandingoftheoriesaboutitscause.Thepatientcansenseimmediatelywhetherthosewhocareforhimaretryingtohelphimornot.Itisimportanttounderstandthat:
·Thepatientwithpsychosomaticillnessisreallysick.Heisnotpretendingorimagininghissymptoms.
·Theideathathecan"snapoutofit"atwillisnomoretruethanitisofthosewithdiseaseslikepneumonia,whoseneedforcareisreadilyacknowledged.
1.Thesymptomsofsomepeoplewithpsychosomaticillnessareexperiencedinanalternatingfashion.
2.Moodinessanddepressionaresymptomsthatdon'tlastlong.
3.Psychosomaticsickpeoplewillstopcheatingwhentheysensethatthosewhocareforthemarebelittlingthem.
4.Peoplewithpsychosomaticillnesstendtobegivenlesscarethantheydeserve.
5.Malingerersarethosewhopretendtobeiiiforsomeotherpurposes.
6.Thesymptomsofpeoplewithpsychosomaticillnessareprimarilymental.
7.Todaymoreandmorepeoplearesufferingfrompsychosomaticillness.
8.Suchconditionsas___________havebeenconsideredclassicexamplesofpsychosomaticillness.
9.Psychosomaticsymptomsmaybeprimarilymental,suchastheinability______.
10.Thefirstandthemostimportantstepinhelpingthepsychosomaticpatientsisto______.
试题详解
1.Y由题干中的关键词alternatingfashion定位到第一个小标题下面第五段末句:Somepeopledeveloptwoorseveraldifferentsymptoms;oftenthesymptomsareexperiencedinanalternatingfashion,题目是原文的同义替换,由此得出题目说法正确。
2.N由题干中的关键词moodinessanddepression定位到第一个小标题下面倒数其次段最终两句:Manypeopleoccasionallyexperiencesymptomslikemoodinessordepression.Whensuchsymptomsaresevereorlong-lasting,theyinterferewiththefunctioningofindividualindailylifeandwithhisrelationshipwithothers,原文指出这些症状可能long-lasting,题目却说don'tlastlong。题目与原文相反,由此得出题目说法错误。
3.N由题干中的关键词psychosomaticsickpeople,cheating定位到其次个小标题,依据文章倒数其次句:Thepatientwithpsychosomaticillnessisreallysick.Heisnotpretendingorimagininghissymptoms,可知心身病的患者并没有装病,题目中的cheating与原文意思相反,由此得出题日说法错误。
4.Y由题干中的关键词peoplewithpsychosomaticillness定位到其次个小标题下面其次段首句:Patientswithpsychosomaticillnessarelikelytobeneglected,题目呈原文的同义替换,由此得出题目说法正确。
5.Y由题干中的关键词malingerers定位到文章倒数其次段第一句:Apatientwithpschosomaticillnessmaybeconfusedwithamalingerer,onewhodeliberatelypretendsillnessinordertoachievesecondarygain,suchasfinancialcompensationorexcusefromwork,题目是原文的同义替换,由此得出题目说法正确。
6.N由题干中的关键词primarilymental定位到文章倒数其次句:Thepatientwithpsychosomat
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