Treatment of the nonpsychotic chronic patient: a problem of interactive fit.
Nonpsychotic chronic adult patients are troublesome, not only because of their psychosocial dysfunction, cognitive and affective impairments, and behavioral problems, but also because they fail the expectations and values of health care providers. The concept of interactive fit is proposed to facilitate the therapeutic process between patient and provider. Stages of treatment are described, together with guidelines for clinicians.
Adler
David A
DA
Department of Psychiatry.
Drake
Robert E
RE
Dartmouth Medical School.
Berlant
Jeffrey
J
Fair Oaks Hospital.
Ellison
James M
JM
Department of Psychiatry.
Carson
Doyle
D
Timberlawn Hospital.
D001291:Attitude of Health Personnel; D001521:Behavior Therapy; D002908:Chronic Disease; D006801:Humans; D010348:Patient Care Team; D011369:Professional-Patient Relations; D011613:Psychotherapy; D011618:Psychotic Disorders / Q000523:psychology / Q000628:therapy*