在综合医院中，三分之一的患者都伴有不同程度的“躯体化”症状，而这类病人常常不被人理解。袁勇贵医生的演讲介绍了躯体化的真相，呼吁更多的人关注这一患者群体。 袁勇贵是中国⼼身医学领域的权威专家与领军⼈物，主任医师，博⼠⽣导师。江苏省优秀重点医学⼈才，江苏省第七期“333⼯程”第⼀层次培养对象，东南⼤学附属中⼤医院⼼⾝医学科主任，国际⼼⾝医学会（ICPM）会员，国际⼼⾝医学专家，江苏省临床点学科和点专科负责⼈，江苏省⾼校脑科学与脑医学点实验室主任，《Journal of Clinical and Basic Psychosomatics（JCBP）》主编。中华医学会⼼⾝医学分会主任委员，江苏省医学会精神医学分会主任委员，江苏省医学会⼼⾝与⾏为医学分会候任主任委员，江苏省医师协会精神病学分会副会⻓，2019年被中华医学会⼼⾝医学分会评为“⼼⾝医学突出贡献专家”称号，被江苏省医学会评为“优秀主任委员”称号。2021年获得“⼗⼤医学影响⼒专家”称号，并被江苏省卫⽣健康委员会授予江苏省第六届“百名医德之星”荣誉，2022、2023年荣登全球顶尖⼼理学家排⾏榜，2025年被江苏省⽣健康委员会评为江苏省最美医务工作者。 Thi ...

Core Viewpoint - The article emphasizes the detrimental effects of family conflicts and the importance of understanding and tolerance within family dynamics to foster a harmonious and prosperous household [5][22][66]. Group 1: Family Dynamics - Poor communication and frequent arguments are common in lower-income families, leading to a cycle of negativity and dysfunction [5][21]. - The story of the protagonist couple, Tong Zhi and Wen Li, illustrates how small disagreements can escalate into significant issues, ultimately harming their family and children [11][17][22]. - The concept of the "prisoner's dilemma" in family settings suggests that constant conflict can trap families in a cycle of poverty and unhappiness [21][22]. Group 2: Health Implications - Chronic negative emotions and conflicts can lead to serious health issues, as illustrated by a case where prolonged arguments resulted in a family member developing cancer [26][36]. - The article highlights that unresolved conflicts not only affect family relationships but can also have severe consequences on individual health [28][39]. Group 3: Keys to Family Prosperity - A successful family environment is characterized by mutual understanding, less conflict, and a focus on emotional support rather than material wealth [52][61]. - The story of Marie Curie and her husband Pierre exemplifies how prioritizing emotional connection over material gifts can strengthen family bonds [54][60]. - The article concludes that families should strive for a peaceful atmosphere where members can support each other, leading to overall happiness and strength [67].

Core Viewpoint - The article discusses the hidden nature and risks of depression in men, highlighting that symptoms often manifest differently compared to women, leading to underdiagnosis and misinterpretation of their mental health issues [4][5][6]. Group 1: Characteristics of Male Depression - Male depression often presents as "functional depression," where individuals may engage in excessive work or sports to mask their emotional struggles, making it easy to overlook their mental health issues [9][10]. - Unlike women, who may express sadness through tears, men are more likely to exhibit irritability and impulsive behaviors, which can be misinterpreted as mere anger rather than signs of depression [15][19]. - The diagnostic criteria for depression have evolved, now recognizing irritability as a core symptom, which is crucial for identifying male depression [16][17]. Group 2: Suicide Rates and Help-Seeking Behavior - Men have a higher completion rate of suicide, often due to the use of more lethal methods and a tendency to conceal their emotional struggles, leading to severe conditions before seeking help [27][28]. - Cultural stigma surrounding mental health issues contributes to men's reluctance to seek help, with studies indicating that men are half as likely as women to consult healthcare professionals for mental health concerns [29][30]. Group 3: Treatment Approaches - The article emphasizes the importance of maintaining a positive behavior pattern, encouraging men to engage in healthy activities even when feeling mentally unwell, which can aid in their recovery [30]. - Family support and understanding are highlighted as critical factors in the treatment process, alongside the need for societal change to reduce stigma around male mental health issues [30].

Core Insights - The article discusses how emotional issues often manifest through physical symptoms, highlighting the phenomenon of somatization where unexpressed psychological needs are expressed via bodily reactions [1][3][8] Group 1: Case Studies - A 14-year-old boy experienced symptoms resembling suffocation due to anxiety, which were later diagnosed as hyperventilation syndrome, a common somatic response to anxiety [2][3] - Other cases included a high school girl with chest pain during exams, diagnosed with cardiac neurosis due to anxiety, and a working mother experiencing tension headaches linked to suppressed anger [3][4] Group 2: Mechanisms of Somatization - Somatization occurs when psychological stress or unexpressed emotions convert into physical symptoms, with the brain's emotional processing system becoming overloaded [3][5] - Various bodily systems are affected by emotions, such as the respiratory system where anxiety leads to rapid, shallow breathing, and the nervous system which can trigger symptoms like palpitations and fatigue [5][6] Group 3: Emotional Triggers and Responses - Emotional triggers can include fear of unfamiliar environments, academic pressure, and a desire for parental support, which may lead to physical manifestations like throat tightness [4][5] - The digestive system is also impacted by emotions, with anxiety often leading to loss of appetite or overeating as a coping mechanism [6] Group 4: Strategies for Understanding Emotional Needs - Establishing a body awareness diary can help individuals track symptoms and associated emotions, aiding in identifying emotional triggers [7] - It is important to differentiate between surface emotions and deeper needs, allowing for a better understanding of what one truly desires [7][8] - Actions to transform emotions can include physical relaxation techniques, journaling, and expressing feelings to trusted individuals [7][8]

Core Insights - The article discusses the phenomenon of somatization in East Asian cultures, where individuals express emotional distress through physical symptoms rather than verbalizing their feelings [1][2][3] - It highlights personal stories of individuals who experienced physical ailments linked to emotional issues, emphasizing the need for better awareness and understanding of the connection between mental health and physical symptoms [4][5] Group 1 - The historical context shows that in the past, depression rates in China were low compared to the U.S., but many patients were diagnosed with "neurasthenia," indicating a cultural tendency to report physical symptoms [1][2] - The article illustrates that in East Asian cultures, emotional expression is often suppressed, leading individuals to describe their psychological distress through bodily pain [3][4] - The narratives of four individuals reveal how their emotional crises manifested as various physical symptoms, such as menstrual irregularities and gastrointestinal issues, ultimately leading them to seek medical help [4][5] Group 2 - One individual recounts experiencing amenorrhea for ten months following a breakup, attributing her physical symptoms to emotional turmoil, which was initially overlooked by healthcare providers [6][8][10] - Another individual describes how academic pressure led to recurring stomach pain, which subsided when she took a break from her stressful environment, highlighting the body's response to emotional stress [24][29][30] - A third narrative discusses the onset of vision problems as a response to accumulated stress, which improved after seeking psychological help, illustrating the importance of addressing mental health to alleviate physical symptoms [50][64][65]