Douglas C J, Druss R G
Gen Hosp Psychiatry. 1987 Jan;9(1):53-7. doi: 10.1016/0163-8343(87)90102-2.
The authors attempt to understand the nature of denial of illness by an examination of two patients with serious and disfiguring physical disorders who postponed medical treatment for over a decade. Both patients subsequently had dramatic negative reactions to the therapeutic efforts of physicians caring for them. Various social, experiential, and characterologic determinants are discussed. In addition, the authors argue that the illness served important organizing functions: it sheltered these patients from the exigencies of everyday life; it allowed them to defeat the physician's efforts to effect a cure; and, finally, the disfigured physical state appeared to correspond to their internalized defective self-image and self-esteem.
作者试图通过对两名患有严重毁容性身体疾病且推迟治疗长达十多年的患者进行检查，来理解疾病否认的本质。两名患者随后对为其治疗的医生的治疗努力都产生了剧烈的负面反应。文中讨论了各种社会、经验和性格方面的决定因素。此外，作者认为疾病起到了重要的组织作用：它使这些患者免受日常生活的紧迫压力；它使他们能够挫败医生治愈疾病的努力；最后，身体的毁容状态似乎与他们内在的有缺陷的自我形象和自尊相对应。
