Sparr L F, Boehnlein J K, Cooney T G
Gen Hosp Psychiatry. 1986 Jan;8(1):49-55. doi: 10.1016/0163-8343(86)90064-2.
Patients who are medically ill and distrustful of their care-providers are unfortunately a fact of life for most physicians. Medical management of such patients can be a frustrating experience because their suspiciousness is usually heightened by the stress of medical illness. Most often the patient's mistrust covers profound feelings of personal inadequacy and is a defense against feared passivity. Understanding of basic paranoid thought processes combined with knowledge of practical management techniques will lead to increased confidence and effectiveness when interacting with these difficult patients.
不幸的是，身患疾病且不信任医护人员的患者是大多数医生在职业生涯中都会遇到的情况。对这类患者进行医疗管理可能是一段令人沮丧的经历，因为疾病带来的压力通常会加剧他们的猜疑。患者的不信任往往掩盖了其内心深处对自身能力不足的感受，也是对所惧怕的被动状态的一种防御。了解基本的偏执思维过程，并掌握实用的管理技巧，将有助于在与这些难缠的患者打交道时增强信心并提高效率。
