Ross J L, Phipps E
Fam Med. 1986 Mar-Apr;18(2):99-101.
Physicians have tended to label the patient who doesn't follow their advice as resistant and noncompliant. However, compliance studies have not identified the physician's sometimes unwitting complicity in the noncompliance. Some physician-patient partnerships are marked by an intensifying power struggle which may have more to do with the emotional needs of each party than with the specific content around which the struggle is focused. This article discusses how these power struggles can be activated and what the physician can do to defuse the struggle and work effectively with noncompliant patients.
医生往往会将不遵循他们建议的患者贴上抗拒和不依从的标签。然而，依从性研究并未发现医生在患者不依从行为中有时不知不觉的同谋关系。一些医患关系的特点是权力斗争不断加剧，这种斗争可能更多地与双方的情感需求有关，而不是与斗争所围绕的具体内容有关。本文讨论了这些权力斗争是如何被触发的，以及医生可以采取什么措施来化解斗争并有效地与不依从的患者合作。
