PSYC 3110 Lecture Notes - Lecture 14: Health Belief Model, Medicalization, Social Learning Theory

• School: University of Guelph
• Department: Psychology
• Course: PSYC 3110
• Professor: Kieran O' Doherty

Document Summary

If you do what the doctor says adherent behaviour: anything else non-adherent behaviour (most ppl) Wertheimer & santella: variations across medication-related behaviour. Vermeire et al: extensive review of literature, missing was looking at this from the patie(cid:374)t"s pe(cid:396)spe(cid:272)ti(cid:448)e too much objective research (cid:894)ie. (cid:272)osts, e(cid:454)pli(cid:272)it (cid:271)eha(cid:448)iou(cid:396)(cid:895), (cid:374)ot e(cid:374)ough (cid:272)e(cid:374)te(cid:396) o(cid:374) the i(cid:374)di(cid:448)idual"s (cid:373)i(cid:374)d p(cid:396)o(cid:272)esses about the issue. Disease characteristics: lower adherence with asymptomatic chronic diseases more likely to adhere when the(cid:396)e"s o(cid:271)(cid:448)ious s(cid:455)(cid:373)pto(cid:373)s a(cid:374)d to those s(cid:455)(cid:373)pto(cid:373)s spe(cid:272)ifi(cid:272)all(cid:455, lower adherence when prognosis is poor. Alternatives to adherence: extensive literature on non-adherence provided some insight, but no reduction, theoretical/philosophical reconceptualization of phenomenon modern medicine; role of physician; lived experience of chronic illness. Modern medicine: privileged access to truth non-adherence is a result of ignorance or in some ways deviance, trostle critical perspective, compliance is about power and control one person telling another what to do. Increased focus on compliance may itself be the cause of increased resistance.