Strauss D H, Spitzer R L, Muskin P R
Department of Psychiatry, Columbia University, New York, NY.
Am J Psychiatry. 1990 Sep;147(9):1168-72. doi: 10.1176/ajp.147.9.1168.
Denial of physical illness is a commonly encountered problem in consultation-liaison psychiatry. Although there is an extensive literature on denial, it has virtually ignored the diagnostic issues raised by the individual whose denial of physical illness is clearly maladaptive. The authors propose that DSM-IV include a subtype of adjustment disorder called "with maladaptive denial of physical disorder." They discuss this new category, its differential diagnosis, and the benefits to clinical practice of this proposed addition to diagnostic classification.
否认身体疾病是会诊联络精神病学中常见的问题。尽管关于否认有大量文献，但实际上它忽略了身体疾病否认明显适应不良的个体所引发的诊断问题。作者提议《精神疾病诊断与统计手册》第四版（DSM-IV）应纳入一种名为“伴有对身体疾病的适应不良性否认”的适应障碍亚型。他们讨论了这一新类别、其鉴别诊断以及这一拟议的诊断分类补充对临床实践的益处。
