Uncooperative Patients Need Psychological Therapy（卫生类）
By refusing to take essential medication after a kidney transplant, a 49-year-old woman drives her doctors and nurses to distraction—to no avail, because the organ has in the end to be removed____(1)_____ Patients refusing to cooperate with medical professionals cause damage not only to themselves but also impose substantial costs on the community. The pharmaceutical company Glaxo Welcome estimates the costs to the German taxpayers of this kind of negative behaviour at around five billion dollars a year.
A recent conference of medical professionals, health insurers, the pharmaceutical industry and patient representatives revealed a wide range of factors behind non-compliance. Not all defiant behaviour in a patient can be characterized as non-compliance. Greater stress should be placed on psychology during medical training, delegates said.____(2)_____ Psychologist Sibylle Storkebaum told of an eight-year-old boy who ran amok in a hospital before undergoing a heart transplant, threatening to rip out his drip tubes.____(3)_____“Doctors and nurses failed to see that they had downgraded a boy already conscious of his own responsibilities into a small child,” Storkebaum said, explaining that the boy merely wanted to be taken seriously and to be involved in his own treatment. “Once this was acknowledged, the anger attacks subsided.____(4)_____” Jan-Torsten Tews of Glaxo Welcome highlighted the problem of excessive medication, with patients having to take a wide range of medicines at short intervals. Educating patients and self-management were the key to treating patients with chronic conditions, he said.
Health insurers also expressed interests in better cooperation between doctor and patient. “The fact that non-compliance exists is a result of patient dissatisfaction with their treatment,” Walter Bockemuehl, a senior executive in the statutory medical insurance scheme. said. According to one study, half of all patients did not want medication, but had drugs prescribed nevertheless.____(5)_____
A. However, there are still some medical professionals who don't believe in psychological therapy.
B. He became noticeably quieter and turned into a good patient.
C. “In these cases we should not be surprised if the advice is ignored,” he said.
D. This case of medical non-compliance is not an isolated example.
E. There was evidence that psychological therapy for insecure patients could improve cooperation between doctors and patients, they added.
F. His fits of rage were subsequently seen as an attempt to assert his rights as a patient.
责任编辑：虫虫
