Directions: In this part, you will have 15 minutes to go over the passage quickly and answer the questions on Answer Sheet 1.
For questions 1-7, mark
Y(for YES) if the statement agrees with the information given in the passage;
N (for NO) if the statement contradicts the information given in the passage;
NG (for NOT GIVEN) if the information is not given in the passage.
For questions 8-10, complete the sentences with the information given in the passage.
The Interaction of Body and Mind
The concept of psychosomatic illness
Psycho, refers to mind, and soma, to body. Psychosomatic illness is the occurrence of bodily symptoms(Y) which are psychological or emotional in origin.
Mind and body are not separate; one affects and is affected by the other. Who has not experienced some physical manifestation of emotional stress? Such experiences as a headache after a quarrel and urinary frequency or diarrhea before an examination are not uncommon, and for most people they are of a temporary nature. The symptoms disappear and are forgotten after the crisis has passed. No treatment may be needed, or the patient may use simple remedies to relieve the discomfort. One person may find that a leisurely walk is the best cure for a headache; another may take aspirin.
Certain conditions have been considered classic examples of psychosomatic illness: pepticulcer, eczema, colitis, and asthma. Personality profiles have been developed to describe the typical characteristics of persons who develop such illness. Another point of view is that human beings are more complex and varied in their responses than such profiles would indicate, and that the type of illness a patient develops in relation to stress varies with many additional factors, such as heredity and environment. Much remains to be learned about the relationship between stress and physical illness.
Physical symptoms, such as palpitation, sweating, or disturbance of sleep, which reflect anxiety, may occur over a prolonged period. The symptoms may seem mysterious and threatening, because the patient is unaware of their cause. The patient whose heart beats more rapidly and forcefully as a manifestation of anxiety may report this symptom to his doctor, believing that something is wrong with his heart. Often the patient is not aware that he is anxious. He knows only that his heart keeps pounding for no apparent reason.
Almost any symptom can have its origin in emotional stress. Some patients almost invariably have the same stress when they become anxious. One may have diarrhea, another asthma, and a third may develop hives or eczema. Some people develop two or several different symptoms; often the symptoms are experienced in an alternating fashion.
The development of bodily symptoms is only one manifestation of anxiety. It may show up also symptoms that are primarily mental, such as the inability to concentrate or to remember. Such symptom too, vary in degree. Many people occasionally experience symptoms like moodiness or depression. When such symptoms are severe or long- lasting, they interfere with the functioning of individual in daily life and with his relationship with others.
Sometimes a person subconsciously develops an illness as a way of handling a desperate need, such as the need for affection. The only real cure is to satisfy the primary desire. An example is a woman who has pain in her heart, not because of organic heart disease, but because the symptom is a way of gaining, if only temporarily, the love and attention for which she longs. Her husband cannot leave her when she is so sick; her children are concerned. Her pain is just as severe as if it had a physical cause.
The reality of psychosomatic illness
Is the patient with psychosomatic illness really sick, or does he merely imagine he is sick? Many people, including the families of patients and members of the health professions, believe that physical illness which is influenced by emotional stress is less real, or wholly imaginary. Acknowledging the reality of the patients' illness is important; it is the first step in helping him.
Patients with psychosomatic illness are likely to be neglected. The same staff who give excellent care to other patients, not uncommonly ignore them. Some possible reasons may include the use of the term psycho as a prefix. Perhaps this conveys the idea that such patients are mentally iii, and therefore have no physical illness. Perhaps they are considered weaklings. One hears comments like, "He could snap out(針捲) of it if he wanted to." Prejudice against these patients may be due to a belief that they are pretending illness in an attempt to get attention or favors.
A patient with psychosomatic illness may be confused with a malingerer, one who deliberately pretends illness in order to achieve secondary gain, such as financial compensation or excuse from work. Pretending illness is considered an unhealthy and unsatisfactory solution to the problems of life. Often it adds to the patient's difficulties, as he makes elaborate attempts to avoid detection. A malingerer can be helped sometimes to find ways of coping with difficulties. The essential difference between psychosomatic illness and malingering is that the malingerer pretends symptoms. It is a conscious process and he is aware that he is pretending to be sick. The patient with psychosomatic illness develops symptoms as manifestation of largely unconscious psychic conflicts. The symptoms are real.
Condemnation((z└)y) of the patient with psychosomatic illness can persist despite intellectual understanding of theories about its cause. The patient can sense immediately whether those who care for him are trying to help him or not. It is important to understand that:
,The patient with psychosomatic illness is really sick. He is not pretending or imagining his symptoms.
,The idea that he can "snap out of it" at will is no more true than it is of those with diseases like pneumonia, whose need for care is readily acknowledged.
1. The symptoms of some people with psychosomatic illness are experienced in an alternating fashion.
2. Moodiness and depression are symptoms that don't last long.
3. Psychosomatic sick people will stop cheating when they sense that those who care for them are belittling them.
4. People with psychosomatic illness tend to be given less care than they deserve.
5. Malingerers are those who pretend to be iii for some other purposes.
6. The symptoms of people with psychosomatic illness are primarily mental.
7. Today more and more people are suffering from psychosomatic illness.
8. Such conditions as ___________ have been considered classic examples of psychosomatic illness.
9. Psychosomatic symptoms may be primarily mental, such as the inability ______.
10. The first and the most important step in helping the psychosomatic patients is to ______.
}盾
1.Y 喇}孤嶄議P(gu─n)I~alternating fashion協了欺及匯弌鮪}和中及励粁挑鞘 Some people develop two or several different symptoms;often the symptoms are experienced in an alternating fashion}朕頁圻猟議揖x紋Q喇緩誼竃}朕f隈屎_。
2.N 喇}孤嶄議P(gu─n)I~moodiness and depression協了欺及匯弌鮪}和中宜(sh┫)及屈粁朔評筍Many people occasionally experience symptoms like moodiness or depression.When such symptoms are severe or long-lastingthey interfere with the functioning of individual in daily life and with his relationship with others圻猟峺竃@乂Y鄂苗long-lasting}朕sfdon't last long。}朕c圻猟犒喇緩誼竃}朕f隈e`。
3.N 喇}孤嶄議P(gu─n)I~psychosomatic sick peoplecheating協了欺及屈弌鮪}功(j┫)猟嫗宜(sh┫)及屈鞘The patient with psychosomatic illness is really sick.He is not pretending or imagining his symptoms辛岑伉附押議纂宀旺]嗤b押}朕嶄議cheatingc圻猟吭房犒喇緩誼竃}晩f隈e`。
4.Y 喇}孤嶄議P(gu─n)I~people with psychosomatic illness協了欺及屈弌鮪}和中及屈粁遍鞘Patients with psychosomatic illness are likely to be neglected}朕格圻猟議揖x紋Q喇緩誼竃}朕f隈屎_。
5.Y 喇}孤嶄議P(gu─n)I~malingerers協了欺猟嫗宜(sh┫)及屈粁及匯鞘A patient with pschosomatic illness may be confused with a malingererone who deliberately pretends illness in order to achieve secondary gainsuch as financial compensation or excuse from work}朕頁圻猟議揖x紋Q喇緩誼竃}朕f隈屎_。
6.N 喇}孤嶄議P(gu─n)I~primarily mental協了欺猟嫗宜(sh┫)及屈鞘The patient with psychosomatic illness is really sick.He is not pretending or imagining his symptoms}朕燕峰c圻猟屎挫犒喇緩誼竃}朕f隈e`。
7.NG 喇}孤嶄議P(gu─n)I~today more and more people壓猟嶄o隈協了圻猟隆戻式誼押繁(sh┫)議晒.喇緩誼竃基宛NG。
8. pepticulcer, eczemacolitisand asthma
喇}孤嶄議P(gu─n)I~conditionshave been consideredclassic examples of psychosomatic illness協了欺及匯弌鮪}和中及眉粁遍鞘Certain conditions have been considered classic examples of psychosomatic illnesspepticulcer, eczemacolitisand asthma喇緩誼竃基宛。
9.to concentrate or to remember
喇}孤嶄議P(gu─n)I~symptomsprimarily mentalinabilities協了欺及匯弌鮪}和中宜(sh┫)及屈粁及屈鞘It may show up also symptoms that are primarily mentalsuch as the inability to concentrate or to remember喇緩誼竃基宛。
10.acknowledge the reality or the patients' illness
喇}孤嶄議P(gu─n)I~firstmost important stephelping協了欺及屈弌鮪}和中遍粁挑鞘Acknowledging the reality of the patients' illness is imaportant;it is the first step in helping him喇緩誼竃基宛。