Linden M
Psychiatr Prax. 1987 Jul;14(4):132-6.
The problem of compliance is compared against that of noncompliance, these two phenomena being fundamentally different from each other and depending also on different factors. A cross-sectional investigation of schizophrenic patients showed that compliant patients do not differ from the noncompliant ones with regard to the number of subjectively experienced negative drug effects but with regard to the number of subjectively experienced positive drug effects. These findings are interpreted in such a manner that patients are less likely to be prevented from complying with a treatment by the negative effects of that treatment and are more likely to cooperate because of positive therapy expectations. The question as to what represents positive therapy experiences, is discussed, as well as the problem of promoting an understanding between the physician and the patient in respect of this important aspect of therapy.
将依从性问题与不依从性问题进行了比较，这两种现象彼此根本不同，且还取决于不同的因素。一项对精神分裂症患者的横断面调查显示，依从性患者与不依从性患者在主观体验到的负面药物效应数量方面并无差异，但在主观体验到的正面药物效应数量方面存在差异。这些发现的解释是，患者不太可能因治疗的负面影响而不依从治疗，并且由于对治疗的积极期望而更有可能合作。文中讨论了什么构成积极治疗体验的问题，以及在治疗的这一重要方面促进医生与患者之间理解的问题。
