Beier Klaus M, Wille Reinhard, Wessel Jens
Institute of Sexual Science and Sexual Medicine, University Clinic Charité, Campus Mitte, Berlin, Germany.
J Psychosom Res. 2006 Nov;61(5):723-30. doi: 10.1016/j.jpsychores.2005.11.002.
To propose a new Diagnostic and Statistical Manual (DSM) and International Classification of Diseases (ICD) category concerning reproductive dysfunctions not caused by organic disorder.
Forensic (n=93) and obstetrical cases (n=78) of denied and concealed pregnancies are compared and discussed.
Denied pregnancies occur with a ratio of 1:475 births. An overwhelming phenomenological agreement is demonstrated between obstetrical and forensic cases. The findings were similar for denial and concealment of pregnancy, probably representing two different types of reproductive dysfunction that can be classified psychosocially together under the heading "negated pregnancy".
Analogous to the phenomenology of "sexual dysfunctions", "reproductive dysfunctions" could be distinguished by the extraordinariness of both reproductive experience and behavior (as part of human sexuality) and psycho-physiological changes, which characterize the reproductive course of events and cause obvious suffering and interpersonal complications. It is therefore suggested to include these entities as categories in their own right under the appropriate existing headings in DSM and ICD.
提出一个关于非器质性疾病所致生殖功能障碍的新的《精神疾病诊断与统计手册》（DSM）和《国际疾病分类》（ICD）类别。
对93例法医案例和78例产科案例中的否认和隐瞒妊娠情况进行比较和讨论。
否认妊娠的发生率为1:475分娩。产科和法医案例之间表现出压倒性的现象学一致性。妊娠否认和隐瞒的结果相似，可能代表两种不同类型的生殖功能障碍，在社会心理层面上可共同归类于“否定妊娠”这一标题下。
类似于“性功能障碍”的现象学，“生殖功能障碍”可通过生殖经历和行为（作为人类性行为的一部分）以及心理生理变化的特殊性来区分，这些变化表征了生殖事件的过程并导致明显的痛苦和人际并发症。因此，建议在DSM和ICD的适当现有标题下，将这些实体作为独立类别纳入其中。
