Original Research

The difficult patient: An attachment perspective

A. Panzer, M. Viljoen, R.G. Maunder, J.J. Hunter
South African Family Practice | Vol 45, No 8 | a1892 | DOI: https://doi.org/10.4102/safp.v45i8.1892 | ©
Submitted: 30 August 2011 | Published: 30 August 2003

About the author(s)

A. Panzer, Department of Physiology, School of Medicine, University of Pretoria, South Africa
M. Viljoen, Department of Physiology, School of Medicine, University of Pretoria, South Africa
R.G. Maunder, Department of Psychiatry, Mount Sinai Hospital, University of Toronto, United States
J.J. Hunter, Department of Psychiatry, Mount Sinai Hospital, University of Toronto, United States

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Abstract

Stressors such as illness, injury and hospitalisation are likely to accurate attachments behaviours. The way people react to these stressors (i.e their illness behaviour); varies widely; and is strongly correlated with their attachment style. In this paper we briefly review attachment theory, with reference to difficult patient behaviours, including compulsive self-reliance, compulsive care seeking and rejection of staff coupled with exaggerated help-seeking behaviour. We conclude by suggesting simple interventions that can easily be applied to enable staff to cope, and thus be more able to help patients with difficult illness behaviours.

Keywords

illness behaviour; attachment theory; difficult patient; help-seeking behaviour

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