Abstract：
BACKGROUND: Somatization in immigrants is frequent but standard studies do not differentiate between various forms of somatization. In this qualitative study, we used an idealtypical approach with the aim of phenomenologically differentiating between different forms of somatization in immigrants.
METHODS: The clinical description of the ideal types was based on seven levels: medical examination; description of somatization symptoms; the patients\' own interpretation of their somatic experience; concomitant psychopathological phenomena; genetic understanding; clinician\'s interpretation; and course and treatment.
RESULTS: Five different ideal typologies of patients emerged: anxious hypochondriasis, somatization with cultural features playing a pathogenetic role, culturally shaped somatization (through pathoplastic effects), somatization as part of adjustment reactions due to migratory living difficulties, and somatization as post-traumatic reaction.
CONCLUSIONS: These differences are useful to highlight the complex interrelationship between socioeconomic, migratory, cultural, and value factors in the construction of somatization among immigrants. Implications for research methodology, nosology, clinical management, and organization of medical facilities are also discussed.
METHODS: The clinical description of the ideal types was based on seven levels: medical examination; description of somatization symptoms; the patients\' own interpretation of their somatic experience; concomitant psychopathological phenomena; genetic understanding; clinician\'s interpretation; and course and treatment.
RESULTS: Five different ideal typologies of patients emerged: anxious hypochondriasis, somatization with cultural features playing a pathogenetic role, culturally shaped somatization (through pathoplastic effects), somatization as part of adjustment reactions due to migratory living difficulties, and somatization as post-traumatic reaction.
CONCLUSIONS: These differences are useful to highlight the complex interrelationship between socioeconomic, migratory, cultural, and value factors in the construction of somatization among immigrants. Implications for research methodology, nosology, clinical management, and organization of medical facilities are also discussed.
摘要：
背景：移民中的躯体化很常见，但标准研究并未区分各种形式的躯体化。在这项定性研究中，我们使用了一种理想的典型方法，目的是在现象学上区分移民中不同形式的躯体化。
方法：理想类型的临床描述基于七个级别：医学检查；躯体化症状的描述；患者自己对其躯体经历的解释；伴随的精神病理学现象；遗传理解；临床医生的解释；以及疗程和治疗。
结果：出现了五种不同的理想类型的患者：焦虑症，具有文化特征的躯体化发挥着致病作用，文化形状的躯体化(通过致病效应)，由于迁徙生活困难，躯体化作为调节反应的一部分，和躯体化作为创伤后反应。
结论：这些差异有助于突出社会经济，迁徙,文化,移民躯体化构建中的价值因素。对研究方法的影响，nosology,临床管理，还讨论了医疗设施的组织。
方法：理想类型的临床描述基于七个级别：医学检查；躯体化症状的描述；患者自己对其躯体经历的解释；伴随的精神病理学现象；遗传理解；临床医生的解释；以及疗程和治疗。
结果：出现了五种不同的理想类型的患者：焦虑症，具有文化特征的躯体化发挥着致病作用，文化形状的躯体化(通过致病效应)，由于迁徙生活困难，躯体化作为调节反应的一部分，和躯体化作为创伤后反应。
结论：这些差异有助于突出社会经济，迁徙,文化,移民躯体化构建中的价值因素。对研究方法的影响，nosology,临床管理，还讨论了医疗设施的组织。
