Resistance to health: when the mind interferes with the desire to become well.
Secondary gain has long been viewed as a variable that can significantly affect a patient's recovery from such conditions as chronic pain disorders, factitious and somatoform disorders, and other psychological disorders. Secondary gain has not been evaluated in terms of its impact on major illnesses such as cancer or autoimmune disorders. In this paper I discuss how secondary gain can be present in such illnesses and how it results in a resistance to health. This resistance to health can lead not only to medical noncompliance, but can also ultimately affect the progression and recovery from the illness. I describe how hypnosis can be used to ferret out this resistance to health and how patients in a hypnotic state will indicate or express their resistance to becoming healthy. The advantage of this approach is that it enables the clinician to deal directly with the patient's unconscious resistance to health.
Schoen
M
M
Department of Psychiatry, Cedars-Sinai Medical Center, Los Angeles, CA 90048.
D000328:Adult; D003674:Defense Mechanisms; D005260:Female; D006801:Humans; D006990:Hypnosis; D009369:Neoplasms / Q000523:psychology; D009497:Neurotic Disorders / Q000523:psychology; D010349:Patient Compliance / Q000523:psychology; D011602:Psychophysiologic Disorders / Q000523:psychology*; D012043:Regression, Psychology; D012803:Sick Role; D013001:Somatoform Disorders / Q000523:psychology*; D014473:Unconscious, Psychology