Profit disease; every disadvantage has its advantage. This article explains in more detail the introduced term illness profits by Freud. Illness Profit is the satisfaction that someone owes to his or her illness. That concept is only used for the so-called mental illnesses, or even physical illnesses? Can cure illness profits stand in the way? And how can it be prevented or solved?
Freud introduced the notion of illness profits. Freud describes primary disease profit when it comes to an infantile unconscious conflict that underlies the disease. To hold an awareness of the disease from perceived or real benefits is called secondary illness gains. With disease profit according Bouwkamp and de Vries to mean that symptoms of power to put the environment at his or her hand in order to gain attention and care. The profit that obtains the symptom carrier from his illness would be so great that his symptomatic behavior would not give up. An example of primary disease profit is an alcoholic who does not become aware of the symptoms of har painful and conflicted feelings. Because of her excessive drinking alcoholic gets the attention of her husband and other social network. The social benefits such as health care, attention, benefits and the like are called secondary gain. The inner and social benefits that a person has tertiary disease gains mentioned by the symptom of another. For example, a man can be proud of the fact that he is so caring for his ailing wife.
A. Schutzenberger tells in her book Vouloir guérir an anecdote about a woman who is seriously ill repeatedly due to recurring cancer. A doctor continues to insist on the question of which benefits the disease offers the woman. Obviously scared the wife of the question, but ultimately they answer ?? Only when I'm in the hospital, I'm a bad diagnosis and surgery, my sister comes to visit me. It's the only time she was not jealous of me. ?? The woman has been working on her relationship with her sister and her condition has now stabilized and improved.
So the term sickness profit consists of both physical and mental illnesses. Dr. Catherine Solano points out that profit is not a disease strategy to remain ill, but that it is an unconscious process. She also speaks of attachment to the disease. Van Egmond, Colombij others rather talk about secondary disease profit as a conscious process. They describe that psychiatric patients psychiatric treatment pretending to get certain benefits. Benefits include a disability benefit, preferential housing, commutation or prevent eviction. According to the authors expect 40% of the patients who came to their clinic these advantages. Profit disease can stand in the way of healing. There appears to be a significant difference in treatment outcome between the groups with and without disease profit motive. The probability of a poor outcome in patients with disease profit expectations almost twice as high as in patients who do not have these expectations.
How can doctors, psychiatrists and other therapists act concretely on suspicion of secondary disease profit? Customers today have the right to fully inspect and copy right in relation to the psychiatric file. ?? This unintended consequence that a patient's description of his problems by his psychiatrist can use for obtaining health insurance profits. It could be beneficial for the course of the disease, and the patient would be able to get this information, but could not use for the acquisition of property other than his mental balance. ?? Furthermore, it is important that a treatment does not take longer than is strictly necessary. This is dependent on care, attention, reassurance and the like occur. Finally, suspicions of disease profit by therapists with clients or patients are discussed from an accepting, not rejecting attitude.