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Uncooperative Patients Need Psychological Therapy

By refusing to take essential medication after a kidney transplant,a 49-year-old woman drives her doctors and nurses to distraction—to no avail,because the organ has in the end to be removed____（1）_____ Patients refusing to cooperate with medical professionals cause damage not only to themselves but also impose substantial costs on the community.The pharmaceutical company Glaxo Welcome estimates the costs to the German taxpayers of this kind of negative behaviour at around five billion dollars a year.

A recent conference of medical professionals,health insurers,the pharmaceutical industry and patient representatives revealed a wide range of factors behind non-compliance.Not all defiant behaviour in a patient can be characterized as non-compliance.Greater stress should be placed on psychology during medical training,delegates said.____（2）_____ Psychologist Sibylle Storkebaum told of an eight-year-old boy who ran amok in a hospital before undergoing a heart transplant,threatening to rip out his drip tubes.____（3）_____"Doctors and nurses failed to see that they had downgraded a boy already conscious of his own responsibilities into a small child,"Storkebaum said,explaining that the boy merely wanted to be taken seriously and to be involved in his own treatment."Once this was acknowledged,the anger attacks subsided.____（4）_____"Jan-Torsten Tews of Glaxo Welcome highlighted the problem of excessive medication,with patients having to take a wide range of medicines at short intervals. Educating patients and self-management were the key to treating patients with chronic conditions,he said.

Health insurers also expressed interests in better cooperation between doctor and patient."The fact that non-compliance exists is a result of patient dissatisfaction with their treatment,"Walter Bockemuehl,a senior executive in the statutory medical insurance scheme.said.According to one study,half of all patients did not want medication,but had drugs prescribed nevertheless.____（5）_____.

練習：

A.However,there are still some medical professionals who don't believe in psychological therapy.

B.He became noticeably quieter and turned into a good patient.

C."In these cases we should not be surprised if the advice is ignored,"he said.

D.This case of medical non-compliance is not an isolated example.

E.There was evidence that psychological therapy for insecure patients could improve cooperation between doctors and patients,they added.

F.His fits of rage were subsequently seen as an attempt to assert his rights as a patient.

答案與題解：

1.D空白處的前一句舉了一位46歲婦女在腎移植手術(shù)以后拒服必要的藥物的例子。空白處的后一句說拒絕與醫(yī)務(wù)人員合作的病人會給自己、給社會帶來什么害處。我們必須注意到后一句的病人是泛指的,當然應(yīng)該包括這位49歲的婦女在內(nèi),因此將D（像這樣不合作的事情并非僅此一例）填入空白處可以將上下文更完美地連接起來。

2.E空白處的前一句說道應(yīng)該更多地強調(diào)心理學在藥物治療中的作用。E說有證據(jù)表明,對缺乏安全感的病人進行心理治療可增加醫(yī)患之間的合作。前后兩句話是連貫的,而且they added 還在一定程度上起到了提示作用,故E為最佳選項。

3.F空白處的前一句講了一個小男孩在做心臟移植手術(shù)前脾氣非常暴躁的故事。空白處的后偶棉幾句敘述了如何解決這個小男孩的心理障礙問題,F說"后來這種憤怒被人物是他要正確作為一個病人的權(quán)利”,正好起著承上啟下的作用。由于醫(yī)務(wù)人員有這種認識才有后面的好結(jié)果。

4.B空白處的前一句說"一旦他的想法被認可,他的怒氣就消退了”,所以B項所說的"他明顯地安靜多了,并且變成了一個服從治療的好病人”是自然而然的結(jié)果。

5.C空白處的前一句說"根據(jù)一項調(diào)查,有一半的病人并不想吃藥,但仍然開了很多藥”,C說"在這種情況下醫(yī)囑被置之腦后也就不足為怪了”,這種連接是順理成章的。