have used a synonym when talking about sticking to his dogma.
In mental healthcare it is the antithesis of choice. It is the
willingness of a patient to comply with their treatment and
non-compliance is a very bad thing 'thanks' to the modern medico-legal
framework and modern mental health practice. A non-compliant paitent
gets other labels such as "challenging" or "difficult" in their notes
and this can be a sure fire way to get worse mental healthcare later on.
A pharmacoeconomic analysis of compliance gains on antipsychotic medications
http://www.crd.york.ac.uk/crdweb/ShowRecord.asp?LinkFrom=OAI&ID=22009101631
<http://www.crd.york.ac.uk/crdweb/ShowRecord.asp?LinkFrom=OAI&ID=22009101631>
I like the authors conclusions
"
The authors concluded that increased compliance resulted in increased
effectiveness and reduced costs and so compliance should be considered
when evaluating the effectiveness of antipsychotic drugs.
"
In effect compliance can also mean patient acceptance. So new drugs
should be evaluated on whether patients stay on the drug willingly. High
cannabinoid herbal cannabis may be on prescription soon perhaps.
Jokes aside I wish the authors would take antipsychotics. They'd put
down their calculators and economic models pretty quickly then find the
first psychiatrist they could and shake them till they explained how the
hell they could be prescribing such a horrible drug.
Psdychiatrists will say it's a lack of insight and a problem of the
illness. It's one of those convenient excuses and it part of the hideen
power stuggle between severely mentally ill patients whose capacity and
insight is continually jduged to be less so that psychiatrists can make
their choices and take away their freedom rather than listen and try to
empower their decisions.
The latter is idealistic of course and is based on the naive assumption
that mental healthcare isn't just a form of behavoural and social
control dressed as medicine.
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