Summary
Investigations on 24 patients hospitalized for treatment of duodenal ulcer recurrences at the Massachusetts General Hospital revealed that none considered that he had adhered to the prescribed therapy in its entirety. The factors found operative in nonadherence to therapy were presented under four headings: (1) the patient's attitude toward the diagnosis of ulcer; (2) the patient's attitude toward the recommended treatment; (3) the patient's attitude toward the physician; and (4) the response of guilt in the patient who does not adhere to therapy. Cases were presented illustrating the various components in each category, and methods of handling were described.
Similar content being viewed by others
References
Jordan, S. M. Discussion of paper by Dr. L. R. Dragstedt.Gastroenterology 30:216, 1956.
Althausen, T. L. Prevention of recurrences in peptic ulcer.Ann. Int. Med. 30:544, 1949.
Veleminsky, J., andVavros, B. Frequency of recurrences in peptic ulcer.Gastroenterology 33:968, 1957.
McHardy, G., McHardy, R. I., andBrowne, D. Management of acute peptic ulcer, measures to prevent recurrence.Postgrad. Med. 25:668, 1959.
Kippen, D. L. A survey of duodenal ulcer (724 cases).Canad. M. A. J. 81:91, 1959.
Roth, H. P., andBerger, D. G. Studies on patient cooperation in ulcer treatment. I. Observations of actual as compared to prescribed antacid intake on a hospital ward.Gastroenterology 38:630, 1960.
Weisman, A. D. A study of the psychodynamics of duodenal ulcer exacerbations with special reference to treatment and the problem of “specificity.”Psychosom. Med. 18:2, 1956.
Weisman, A. D. The doctor-patient relationship: Its role in therapy.Am. Pract. & Dig. Treatment 1:1144, 1950.
Weisman, A. D., andHackett, T. P. Predilection to death.Psychosom. Med. 23:232, 1961.
Browne, I., andHackett, T. P. Pacemaker study. Unpublished data.
Hackett, T. P., andWeisman, A. D. Treatment of the dying.Current Psychiatric Therapies, 1962.
Editorial.New England J. Med. 266:261, 1962.
Roth, H. P.,et al. Patients' beliefs about peptic ulcer and its treatment.Ann. Int. Med. 56:72, 1962.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hernandez, M., Hackett, T.P. The problem of nonadherence to therapy in the management of duodenal ulcer recurrences. Digest Dis Sci 7, 1047–1060 (1962). https://doi.org/10.1007/BF02232981
Issue Date:
DOI: https://doi.org/10.1007/BF02232981