Matveev V F, Chernosvitov E V
Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(11):1683-7.
To study the patient's insight into the disease, the authors have reviewed the results of the follow-up of 366 patients with such somatic illnesses as coronary heart disease, essential hypertension, gastric and duodenal ulcers, chronic non-specific colitis, bronchial asthma, and chronic pneumonia. Four types of complaints have been identified, including (1) concrete-sensitive; (2) affective; (3) conceptualizing; and (4) evaluative-esthetising. These complaints were established to depend on the development of the psychological defense mechanisms. The data obtained are necessary not only for solving the questions of the differential diagnosis and multimodality therapy but also complying with the principles of medical deontology in the work of the physician of a general somatic hospital, encountering borderline psychopathologic disturbances.
为研究患者对疾病的洞察力，作者回顾了366例患有诸如冠心病、原发性高血压、胃及十二指肠溃疡、慢性非特异性结肠炎、支气管哮喘和慢性肺炎等躯体疾病患者的随访结果。已识别出四种类型的主诉，包括：（1）具体敏感型；（2）情感型；（3）概念化型；以及（4）评价审美型。这些主诉被确定取决于心理防御机制的发展。所获得的数据不仅对于解决鉴别诊断和多模式治疗的问题是必要的，而且对于综合躯体医院的医生在遇到边缘性精神病理障碍时遵循医学道义原则也是必要的。
