Tinker D E, Ramer J C
J Adolesc Health Care. 1983 Mar;4(1):35-9. doi: 10.1016/s0197-0070(83)80226-5.
The treatment of anorexia nervosa (AN) is often complicated by the subversion of therapy by the patient. We describe the undermining of treatment by ward personnel as a result of their lack of understanding of the psychodynamics of AN and their perception of these patients as not being "sick" in the traditional sense and therefore not entitled to the "sick role." The incidents which occurred in our center are discussed as to their possible origins, the patient's response, and the remediation employed. The remedial approaches which may have the most promise are presented.
神经性厌食症（AN）的治疗常常因患者对治疗的破坏而变得复杂。我们描述了病房工作人员对治疗的破坏，这是由于他们对AN的心理动力学缺乏理解，以及他们认为这些患者在传统意义上“没病”，因此无权扮演“患者角色”。讨论了我们中心发生的事件的可能起因、患者的反应以及所采用的补救措施。介绍了可能最有前景的补救方法。
