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Article

Функции соматических симптомов в межличностном общении: культурно-исторический подход в психосоматике

Рассказова Е. И., Мигунова Ю. В.

In the context of the culturalhistorical approach to psychosomatics, a somatic phenomenon is regarded as the one that is developed within an individual's social situation of development, in particular, the social situa tion of an illness. The aim of this work is to apply the abovementioned approach to the analysis of the functions of somatic symptoms in interpersonal communication. It is assumed that in the process of interpersonal com munication somatic symptoms acquire certain specific functions that, if interiorized, may contribute not only to the presentation and display of bodily sensations, but to their emergence as well. The paper provides a classifi cation of the social situations depending on their type and content, and the type of the displayed symptom (manipulation, somatization, displaying somatic symptoms of organic origin, reaction to another person's dis played symptoms, reaction to other people's distrust). Also, the paper suggests that displaying symptoms in interpersonal communications may bear the functions of justification, accusation, benefitting, gaining or assert ing social status, receiving emotional or instrumental social support, and inquiring into social expectations.