Understanding the psychodynamics of non-adherence to medical treatment in persons with HIV infection

Francisco Ricart, Mary Ann Cohen, César A. Alfonso, Rosalind G. Hoffman, Nancy Quiñones, Alan Cohen, Debbie Indyk

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

We present this medical-psychiatric case discussion to illustrate the psychodynamic aspects of nonadherence in a woman with AIDS. Our patient sustained severe, repeated abandonment and brutal emotional, physical and sexual trauma throughout her early and later childhood and adult life. Her care was considerably complicated by the sequelae of trauma including difficulty with trust and posttraumatic stress disorder. The additional problem of HIV dementia compounded the patient's nonadherence to treatment. We present a multidisciplinary biopsychosocial approach that enabled the patient to engage in both medical and psychiatric care.

Original languageEnglish
Pages (from-to)176-180
Number of pages5
JournalGeneral Hospital Psychiatry
Volume24
Issue number3
DOIs
StatePublished - 2002
Externally publishedYes

Keywords

  • AIDS
  • HIV
  • Nonadherence
  • PTSD
  • Trauma

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