title: Managing noncompliance in the 'difficult' medical patient: the contributions of insight. A case report.
abstract: Psychodynamics can interfere with medical compliance, especially in psychologically vulnerable patients. A case is presented of a cancer patient who developed a powerful transference reaction to her oncologist, jeopardizing her treatment for cancer. Strategies for integrating techniques of insight-oriented psychotherapy with those of supportive psychotherapy are discussed in managing such reactions and improving compliance.
authors.affiliation: Consultation-Liaison Service, Tisch Hospital, New York, N.Y.
authors.forename: A A
authors.initials: AA
authors.lastname: Wyszynski
mesh_terms: D000230:Adenocarcinoma / Q000523:psychology / Q000628:therapy; D000328:Adult; D001943:Breast Neoplasms / Q000523:psychology / Q000628:therapy; D003419:Crisis Intervention; D003536:Cystadenocarcinoma / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D009378:Neoplasms, Multiple Primary / Q000523:psychology* / Q000628:therapy; D010051:Ovarian Neoplasms / Q000523:psychology* / Q000628:therapy; D010349:Patient Compliance / Q000523:psychology*; D010817:Physician-Patient Relations; D011575:Psychoanalytic Therapy / Q000379:methods*; D012803:Sick Role