[Adherence as a result of a "particular relationship". HIV-infected patients about their physician-patient relationship].
This qualitative study examines the relationship between doctors and HIV-infected patients with regard to problems of adherence. Objective hermeneutics was used to analyze the scene of a doctor-patient conversation produced through psychodrama. Specific traits shared by the patients in question were a confused regulation of closeness and distance as well as a non-maintenance of the traditional asymmetry within the doctor-patient relation. The patients faced the doctors on a level of diffuse social relations and showed the tendency to involve the doctor into their community. The conclusion for a model explaining patients' adherence may be: it exist an individual level of the need for being accepted by the doctor as somebody particular. If this level is reached, i. e. individual claims are met and personal desires are satisfied, the patient will follow the physician's advice. Authors discuss whether the model is compatible with the conflict of self-esteem.
Engelbach
Ute
U
Klinik für Psychiatrie, Psychosomatik und Psychotherapie der Johann Wolfgang Goethe-Universität Frankfurt am Main. engelbach@vff.uni-frankfurt.de
Dannecker
Martin
M
Kaufhold
Johannes
J
Lenz
Cynthia
C
Grabhorn
Ralph
R
D000328:Adult; D003142:Communication; D003220:Conflict, Psychological; D005260:Female; D006679:HIV Seropositivity / Q000523:psychology*; D006801:Humans; D008297:Male; D010349:Patient Compliance / Q000523:psychology*; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011577:Psychodrama; D012381:Role Playing; D012649:Self Concept