Professor of Community Psychiatry, Imperial College School of Medicine, London.
Int J Psychiatry Clin Pract. 2000;4(3):253-5. doi: 10.1080/13651500050518181.
A patient who has an unequivocal psychotic illness within the schizoaffective spectrum is described. Over the course of the past 10 years she has convinced me that her way of looking at her own illness, particularly her refusal to take medication, has merits that cannot be dismissed as the overwrought workings of a disturbed mind. Her experience has helped me to understand that it is still possible to be an advocate of evidence-based medicine and yet accommodate the wishes of patients in a way that sometimes elevates personal patient-based evidence above that of external criteria. ( Int J Psych Clin Pract 2000; 4: 253 - 255).
描述了一位患有明确精神分裂症谱系中精神病性疾病的患者。在过去的 10 年中,她使我相信,她看待自己疾病的方式,特别是她拒绝服药,有其优点,不能仅仅因为这是一个思维紊乱的人过度紧张的想法而被忽视。她的经历帮助我理解,仍然有可能成为循证医学的倡导者,同时以一种有时将基于个人的患者证据置于外部标准之上的方式来满足患者的意愿。(Int J Psych Clin Pract 2000;4:253-255)。