<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7523</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Rev cubana med]]></abbrev-journal-title>
<issn>0034-7523</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75232019000300005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[El padecer como diagnóstico de la enfermedad]]></article-title>
<article-title xml:lang="en"><![CDATA[Suffering as a diagnosis of the disease]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Blanco Aspiazu]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bosch Bayard]]></surname>
<given-names><![CDATA[Rodolfo Isidro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Azcuy]]></surname>
<given-names><![CDATA[Osmín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Policlínico Docente &#8220;Ramón González Coro&#8221; ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Facultad de Ciencias Médicas Finlay Albarrán ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>58</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75232019000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75232019000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75232019000300005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La vivencias emocionales de las enfermedades y su cuidado reciben atención insuficiente en las condiciones actuales de una medicina altamente biologicista.  Objetivo:  Profundizar en el concepto del padecer como componente del diagnóstico con enfoque psicosocial en clínica.  Métodos:  Se realizó una búsqueda en las bases de datos PubMed, SciELO y Lilacs utilizando las palabras claves: padecer; afectación; enfermedad, illness, sickness, disease.  Desarrollo:  El diagnóstico médico se centra en la entidad nosológica que representa alteraciones estructurales y funcionales. La afectación se vincula a la vida de relaciones sociales del enfermo en la que supone determinado grado de invalidez y en el padecer, el cual es una expresión de la dimensión psicológica cuya complejidad se centra en la respuesta afectiva identificable por las emociones y sentimientos. El padecer tiene un carácter individual según los rasgos de personalidad, la biografía del paciente, las características de su enfermedad (aguda o crónica), el contexto en el que surge y se desarrolla el problema de salud y las cualidades del proceso de atención. El afrontamiento del padecer del paciente puede verse mejor desde una visión alostática.  Conclusiones:  El padecer de las enfermedades, también conocido como cuadro interno de la enfermedad, tiene como centro la respuesta emocional pero no se limita a ella. Exige conocer al enfermo como persona y su red de apoyo con vistas a facilitarle una respuesta adaptativa beneficiosa a su nueva condición.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The emotional experiences of diseases and their care receive insufficient attention in the current conditions of highly biologic oriented medicine.  Objective:  To deepen the concept of suffering as a component of diagnosis with a psychosocial approach in the clinic.  Methods:  A search in PubMed, SciELO and Lilacs databases was performed using suffering; affectation; disease, illness, sickness, disease as keywords.  Discussion:  The medical diagnosis focuses on the nosological entity that represents structural and functional alterations. Suffering is linked to the social relations of the patient in which certain degree of disability and suffering are supposed, which is an expression of the psychological dimension whose complexity focuses on the emotional response identifiable by emotions and feelings. Suffering has an individual character according to the personality traits, the patient´s history, the characteristics of the illness (acute or chronic), the context in which the health problem arises and advances and the qualities of the care process. Coping with the patient's suffering can be better understood from an allostatic view.  Conclusions:  Suffering from diseases, also known as internal symptoms of the disease, is centered on the emotional response but it is not just limited to it. Knowing the patient as a whole person and their support network is required to facilitating beneficial adaptive response to the new condition.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[empatía]]></kwd>
<kwd lng="es"><![CDATA[afectación]]></kwd>
<kwd lng="es"><![CDATA[padecer]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[clínica]]></kwd>
<kwd lng="en"><![CDATA[empathy]]></kwd>
<kwd lng="en"><![CDATA[affectation]]></kwd>
<kwd lng="en"><![CDATA[suffer]]></kwd>
<kwd lng="en"><![CDATA[diagnosis]]></kwd>
<kwd lng="en"><![CDATA[clinic]]></kwd>
</kwd-group>
</article-meta>
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