Pilowsky I
Psychother Psychosom. 1986;46(1-2):76-84. doi: 10.1159/000287964.
This paper reviews the concept of abnormal illness behaviour (dysnosognosia). The need for a multidisciplinary approach is emphasized, especially for patients who affirm the presence of somatic illness in an inappropriate way. Taking the multidisciplinary pain clinic as a model of this approach, the range of treatments available is discussed. It is suggested that 'thymologia' and 'somatologia' may be more value-free ways of describing patients' verbal behaviour than alexithymia, and that psychotherapeutic methods can be utilized if a flexible style is adopted.
本文回顾了异常疾病行为（疾病失认症）的概念。强调了多学科方法的必要性，特别是对于那些以不恰当方式确认存在躯体疾病的患者。以多学科疼痛诊所作为这种方法的一个范例，讨论了可用的治疗方法。有人提出，与述情障碍相比，“情感学”和“躯体学”可能是描述患者言语行为的更具价值中立性的方式，并且如果采用灵活的方式，可以利用心理治疗方法。
