title: [The difficult patient--or the difficult relation. Clinical use of the context concept].
abstract: The difficult patient is a well-known character in the literature and in doctors' surgeries. We discuss the advantage of broadening the perspective from studying the qualities of the patient to studying the qualities of the therapeutic relationship. We underline the need to analyze not only the content of symptoms but also the meaning of symptoms in a wider relational context. The theoretical concepts are taken from systems-theory and the concept context is central. We stress the need to negotiate a context and common aims for therapy.
authors.affiliation: Gaustad sykehus, Oslo.
authors.forename: F
authors.initials: F
authors.lastname: Skårderud
authors.forename: P
authors.initials: P
authors.lastname: Ekern
mesh_terms: D006801:Humans; D010361:Patients / Q000523:psychology; D010817:Physician-Patient Relations; D011613:Psychotherapy; D013598:Systems Theory
vernacular_title: Den vanskelige pasient--eller den vanskelige relasjon. Klinisk anvendelse av begrepet kontekst.