About twelve years ago, a Psychiatrist in town published an article reporting that 9% of the patients seen by psychiatrists in his study sabotaged their care. I wonder what a similar study would show in Family Medicine. I've noted recently a trend in the patients I'm seeing toward sabotaging their potential for success with treatment of a chronic disease. What drives their behavior, or lack of behavior, in the case of non-adherence to mutually agreed to care plans?
How many other Family Physicians are seeing patients who sabotage their care?
How many patients are aware that they are sabotaging their own health (care)?