[Application of the causal theory of action through analysis of therapeutic non-observance].
This paper presents an analysis of an aspect of non-observance in the treatment of type 1 diabetes mellitus, the absence of adaptation of insulin dosage in spite of hyperglycemia. The adaptation of insulin dosage by the patient is described as an intentional action, performed as a habit. The problem is analysed through the causal theory of action and the concept of akrasia. These considerations may be useful to understand other aspects of therapeutic non-observance.
INSERM U341, Service de Diabétologie, Hôtel-Dieu, 1, place du Parvis Notre Dame, F75181 Paris. gerard.reach@htd.ap-hop-paris.fr
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D001294:Attitude to Health; D015984:Causality; D003657:Decision Making; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy* / Q000378:metabolism*; D016903:Drug Monitoring / Q000379:methods / Q000523:psychology*; D006184:Habits; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage*; D007328:Insulin / Q000008:administration & dosage*; D007389:Internal-External Control; D019359:Knowledge; D019370:Observation; D011582:Psychological Theory; D012646:Self Administration / Q000379:methods / Q000523:psychology*
D007004:Hypoglycemic Agents; D007328:Insulin