Janne P, Reynaert C, Cassiers L
Service de Médecine Psychosomatique de l'U.C.L., Cliniques universitaires de Mont-Godinne, Belgique.
Ann Med Psychol (Paris). 1990 Feb;148(2):165-78.
Recent research has shown that patients with life-threatening illnesses have improved chances of survival and enhanced abilities to manage situational anxiety and depression if, instead of recognizing the seriousness of their illness, they employ the psychological defense mechanism of denial. Denial as a coping style provides indeed marked benefits for the patient, at least during acute hospital recovery, but seems to be possibly maladaptative in the long run after hospital discharge. The present study is an attempts to review the different findings related to the use of denial by the coronary patient. The concept and its use are re-examined from the very different standpoints of the patient, the cardiologist and the psychologist, in a psychodynamic, a systemic and a psychosomatic perspective. Even if clinically meaningful, denial is also revisited through both the ethical and the epistemological approaches.
最近的研究表明，患有危及生命疾病的患者若采用否认这一心理防御机制，而非认识到自身疾病的严重性，其生存几率会提高，应对情境性焦虑和抑郁的能力也会增强。否认作为一种应对方式，确实为患者带来了显著益处，至少在急性住院康复期间如此，但从出院后的长期来看，似乎可能具有适应不良性。本研究旨在回顾与冠心病患者使用否认相关的不同研究结果。从患者、心脏病专家和心理学家截然不同的立场出发，从心理动力学、系统论和心身医学的角度，对这一概念及其应用进行重新审视。即使在临床上有意义，也会通过伦理学和认识论方法对否认进行再探讨。
