Psychological issues in treatment of severely noncompliant diabetics

C. E. Boehnert, M. K. Popkin

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

The authors’ program for dealing with the severe behavioral problems of noncompliant diabetics who consistently and deliberately refuse to follow medical advice is necessarily long-term. These patients often meet criteria for borderline personality disorder. Frequently commencing with crisis management rather than psychotherapy per se, the therapist strives for the slow dispersal of deep-rooted denial, manipulative behavior, and dependency needs. In many cases impaired family dynamics require resolution before the patient can arrive at acceptance of the illness and of practical measures for coping with it, in place of previous magical hopes for cure and resentment of physicians for not providing such cure.

Original languageEnglish (US)
Pages (from-to)11-20
Number of pages10
JournalPsychosomatics
Volume27
Issue number1
DOIs
StatePublished - Jan 1986

Bibliographical note

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Copyright 2018 Elsevier B.V., All rights reserved.

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