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HELP WITH FAMILY INTERACTIONS
了解家庭关系
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.
进入医生办公室的这位女性患者拥有疲劳史，精神萎靡，并患有失眠症和烦躁症，这位病患或许还会描述她疾病的早期症状。
She may, however, be showing signs of depression secondary to her inability to cope any longer with an alcoholic husband,
或许，由于她无力应对酗酒的丈夫，
with a teenage son addicted to cocaine,or with an elderly mother for whom she must care.
吸毒成瘾的孩子，以及她必须要照顾的老母亲而显出抑郁状态。
The wise physician considers organic pathology but also realizes that presenting symptoms may be only part of what is really troubling the patient.
睿智的医生认为应该运用器官病理学的方法来治疗，但是医生又意识到目前所展现的症状或许仅仅是烦恼病患的一部分。
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.
这就需要医生非常敏感并且能小心谨慎、善解人意、细致入微地去探寻并倾听病人的忧虑和需求,医生的这些能力能够且必须加以完善和实践。
The physician's role is to help the patient understand the connections between unpleasant situations, emotional disturbances, and organic symptoms.
医生的角色就是要帮助病患了解不良状况、情绪困扰以及身体症状之间的联系。
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.
有时候，帮助病人只需要让他们知道这三者之间的关系并意识到：医生了解他们，愿意安慰和倾听他们，很少直言相劝、却能表达关心之情。
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.
早些时候，当时绝大多数医生都会在病人家中进行医护治疗，如果医生并没有完全了解病患的家庭和环境状况，那么医生也会很快察觉到病患的生活状况以及家庭关系。
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，病患来到医生的办公室，通常病患会独自一人来，完全无法得知病患的社会经济背景，医生就很难做出正确的判断。
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.
通过既往史，体检甚至是通过简短拜访的方式，医生必须要提高他们了解家庭关系的技能。
译文属可可英语原创，未经允许，不得转载。
