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Related Experiment Videos

"Non-compliance": meaningful construct or destructive, sticky, stigmatizing label?

S J Wright1

  • 1Department of Medical Psychology, Leicester General Hospital.

EDTNA/ERCA Journal (English Ed.)
|January 5, 1999
PubMed
Summary

The term "non-compliance" is critically reviewed, revealing it as a mythical construct. Researchers propose substituting it with "self-management behaviors" for a more neutral and accurate approach in healthcare.

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Area of Science:

  • Health Psychology
  • Behavioral Science
  • Medical Sociology

Background:

  • The concept of patient "(non-) compliance" is widely used in clinical practice and research.
  • Existing literature and clinical experience surrounding this term are critically examined.
  • Underlying assumptions and theoretical models of compliance are reviewed.

Observation:

  • Assessment challenges and theoretical models related to patient adherence are discussed.
  • The Self-Regulation Model is presented as a framework for understanding and intervening in patient behaviors.
  • The potential for prejudice and stereotyping due to the label "non-compliance" is highlighted.

Findings:

  • The construct of "(non-) compliance" is deemed mythical and lacking empirical support.
  • The negative evaluative nature of the term "non-compliance" can lead to bias.
  • A shift towards neutral terminology is advocated.

Implications:

  • Substituting "(non-) compliance" with "self-management behaviors" promotes a non-judgmental approach.
  • This reframing can improve patient-provider communication and therapeutic relationships.
  • Further research is needed to explore the utility of "self-management behaviors" in clinical interventions and studies.

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