<?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>1870-879X</journal-id>
<journal-title><![CDATA[En-claves del pensamiento]]></journal-title>
<abbrev-journal-title><![CDATA[En-clav. pen]]></abbrev-journal-title>
<issn>1870-879X</issn>
<publisher>
<publisher-name><![CDATA[Instituto Tecnológico y de Estudios Superiores de Monterrey, División de Humanidades y Ciencias Sociales]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-879X2017000200051</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Neurastenia y fibromialgia: el enlace entre el sistema nervioso y la cultura en entidades clínicas complejas]]></article-title>
<article-title xml:lang="en"><![CDATA[Neurasthenia and Fibromyalgia: The Link between the Nervous System and Culture in Complex Clinical Entities]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Jiménez]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serrano Bosquet]]></surname>
<given-names><![CDATA[Francisco Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Tecnológico de Monterrey Escuela de Medicina y Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Monterrey ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Tecnológico de Monterrey Escuela de Humanidades y Educación ]]></institution>
<addr-line><![CDATA[Monterrey ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>11</volume>
<numero>22</numero>
<fpage>51</fpage>
<lpage>74</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-879X2017000200051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-879X2017000200051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-879X2017000200051&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El objetivo principal del presente artículo es mostrar de qué forma ciertos conjuntos de síntomas complejos adquieren un estatuto de enfermedad, síndrome o entidad clínica, a partir de un discurso biomédico que es, a su vez, producto de la interrelación de procesos en los que intervienen factores no sólo de orden biológico, sino también histórico, político y social. En tales casos, es posible identificar un mecanismo discursivo que consiste, por un lado, en recurrir a hipótesis que ubican el origen de dichos padecimientos en el sistema nervioso, al mismo tiempo que se incluyen factores de orden sociocultural en las elucidaciones sobre sus causas hipotéticas. A modo de ejemplo, y para tal fin, se ha tomado el estudio de dos casos concretos: la neurastenia y la fibromialgia, etiquetas diagnósticas controversiales que han compartido no sólo una serie de similitudes y coincidencias clínicas sino también contextuales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The main goal of this paper consists on showing in what ways certain complex symptom clusters are able to acquire the status of disease, syndromes or clinical entities within a biomedical discourse which is part of an interrelation of different processes in which not only biological, but also historical, political and social factors get to be involved. In such cases, it is possible to identify a discursive mechanism that consists, on the one hand, on relying on assumptions and hypotheses that usually locate the origin of these clinical entities in the nervous system while sociocultural factors are included in the elucidations of their hypothetical causes on the other. As illustrative concrete cases, we have decided to analyze two cases of contested illness: neurasthenia and fibromyalgia, controversial diagnostic labels that have shared not only clinical similarities and coincidences but also contextual ones.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[neurastenia]]></kwd>
<kwd lng="es"><![CDATA[fibromialgia]]></kwd>
<kwd lng="es"><![CDATA[historia de la medicina]]></kwd>
<kwd lng="es"><![CDATA[sistema nervioso]]></kwd>
<kwd lng="es"><![CDATA[cultura]]></kwd>
<kwd lng="en"><![CDATA[neurasthenia]]></kwd>
<kwd lng="en"><![CDATA[fibromyalgia]]></kwd>
<kwd lng="en"><![CDATA[history of medicine]]></kwd>
<kwd lng="en"><![CDATA[nervous system]]></kwd>
<kwd lng="en"><![CDATA[culture]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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