"Non-compliance": meaningful construct or destructive, sticky, stigmatizing label?
The "(non-) compliance" is critically reviewed in term of both published research and clinical experience. Underlying assumptions are examined, and assessment problems and relevant theoretical models briefly reviewed. The Self-Regulation Model is outlined in some detail as a basis for both clinical interventions and research. Attention is drawn to the potential for prejudice and stereotyping as a result of the application of a negative evaluative label like "non-compliance". It is concluded that "(non-) compliance" is a mythical construct and proposed that the evaluatively neutral, non-judgmental, term self-management behaviours be substituted. Directions for further research are outlined.
Wright
S J
SJ
Department of Medical Psychology, Leicester General Hospital.
D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology / Q000628:therapy; D008960:Models, Psychological; D006435:Renal Dialysis; D012648:Self Care / Q000523:psychology*; D013240:Stereotyping; D016312:Treatment Refusal / Q000523:psychology*