Аuthors: A. V. Kustov
The study of the literary sources, the personal medical observations and the experience of teaching of the medical psychology for university students in which the compliance problem is reflected, allow to make the conclusion that for its planned solution there is no convenient conceptual model that would allow to take into account the main components of the formation of the patient`s compliant behavior. This publication presents a model for studying of the compliance problem from the standpoint of a systems approach. Three main factors (patient, physician, family) are distinguished, in the interrelationship of which reveals the possibilities of diagnosing of the genesis and forms of the compliance distortions, as well as psycho-correctional or psychotherapeutic activities of the doctor. Taking into account that the behavior of a person, including a patient, is realized more often at the subconscious and unconscious level, the identified factors can serve as a guide for the purposeful integrated study of this urgent psychological problem in medicine. The factors and conditions that we have identified in the formation of compliance can form the basis for the development of the preventive and psychocorrectional program, including the diagnostic and therapeutic components. An important task is the creation of the general and specific recommendations for the implementation of the compliance stimulating behavior in patients aimed for activating the resource opportunities within the limits identified by us.
Keywords: compliance, patient and physician factors, family factor, family types, stigmatization, alexithymia.