Attitude toward medication and perceived competence among chronically psychotic patients

19 chronically psychotic outpatients who had consistently expressed doubt about their need for psychotropic medication provided significantly more inflated estimates of their performance on a problem-solving task than 18 subjects who had not expressed such skepticism. The findings are consistent with the view that the observed relationship between denial of deficits and noncompliance with treatment among psychotic individuals is a function of a broader pattern of self-deception.