Slavney P R
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Johns Hopkins Hospital, Baltimore, MD 21287-5371, USA.
Psychosomatics. 1999 Jul-Aug;40(4):325-9. doi: 10.1016/S0033-3182(99)71227-2.
Demoralization, a normal response to adversity, is commonly seen in medical and surgical patients referred for psychiatric consultation. Demoralization should be distinguished from adjustment disorders and other pathological conditions--a process that would be facilitated if demoralization, like grief, were given a V code in DSM. Although the primary responsibility for treating demoralization rests with the patient's physician, the consulting psychiatrist must make an accurate diagnosis and begin the process of supportive psychotherapy.
士气低落是对逆境的正常反应，在转介进行精神科会诊的内科和外科患者中很常见。应将士气低落与适应障碍及其他病理状况区分开来——如果像悲伤一样，士气低落能在《精神疾病诊断与统计手册》（DSM）中获得V编码，这一区分过程将会变得更容易。虽然治疗士气低落的主要责任在于患者的医生，但会诊精神科医生必须做出准确诊断并开始支持性心理治疗。
