| Description |
1 online resource (xxi, 207 pages) : illustrations |
| Series |
Philosophy and Medicine, 0376-7418 ; 118 |
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Philosophy and medicine ; 118. 0376-7418
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| Contents |
Machine generated contents note: 1. Introduction: The Doctor, Her Patient, and Their Reasons -- 1.1. Adherence and Nonadherence to Therapies: A Definition -- 1.2. Nonadherence: How Common Is It? -- 1.3. The Consequences of Nonadherence -- 1.4. Scope of the Book -- 1.5. Some Simple Explanations for Nonadherence -- 1.6.A Typology of Adherence? Analogous or Homologous Phenomena -- 1.7. The Real Question -- 1.8. From Behavior to Action -- 1.9.A Philosophical Understanding of Adherence to Long-Term Therapies -- References -- 2. The Classic View -- 2.1. Determinants of Nonadherence to Long-Term Therapies -- 2.1.1. Intrinsic Factors -- 2.1.2. Extrinsic Factors -- 2.2. Behavioral Models of Patient Adherence -- 2.2.1. The Health Belief Model -- 2.2.2. The Theories of Reasoned Action and of Planned Behavior -- 2.2.3. Theory of Interpersonal Behavior -- 2.2.4. Leventhal's Self-Regulatory Model -- 2.2.5. Transtheoretical Model of Change -- 2.2.6. The Reversal Theory |
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Note continued: 2.3. Limitations of Psychological Models -- 2.4.A New Perspective -- 2.5. In Search of Mental Mechanisms in Psychology and Philosophy -- 2.6. Observation, Explanation and Mechanisms -- 2.7. Patient and Agent -- References -- 3. Intentionality -- 3.1. What Is Ìn Your Head' -- 3.1.1. The Different Types of Intentional Mental States -- 3.1.2. The Place of Pleasure -- 3.1.3. What Mental States Do -- 3.1.4. Holistic Conception of the Mind -- 3.1.5. The Background -- 3.2.A Mental Puzzle and Its Formation -- 3.2.1. The Necessary Incompleteness of the Mental Puzzle -- 3.3. Actions -- 3.3.1. Davidson's Causal Theory of Action -- References -- 4. An Intentionalist Model of Patient Adherence -- 4.1. Therapeutic Agency -- 4.1.1. To Take Care of Oneself or Not -- 4.2. An Intentionalist Model of Adherence -- 4.3. The Pivotal Role of Emotions in Patient Adherence -- 4.3.1. Emotions, Boredom and Anxiety -- 4.3.2. Emotions and Patient Adherence -- 4.4. Bringing Action into Play: Volition |
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Note continued: References -- 5. The Dynamics of Intentionality -- 5.1. Motivational Force -- 5.2. Self-control -- 5.3. The Force of Habit -- 5.3.1. Definition of Habit -- 5.3.2. Mechanism of Habit -- 5.3.3. Advantages of Habit -- 5.3.4. Training Through Habit -- 5.3.5. Adherence to Long-Term Therapies: A Habit of Action -- 5.4. Intention, Decision, Resolution, and Willpower -- 5.4.1. The Notions of Intention and Decision -- 5.5. The Dynamics of Intentionality -- 5.5.1. To Take Care of Oneself Day After Day: An Interpretation Within the Framework of a Theory of Intentionality -- 5.5.2. Back to the Mechanism of Habit -- 5.5.3. Resolution and Willpower -- References -- 6. Medical Irrationality -- 6.1. Akrasia -- 6.2. Patient Nonadherence to Therapy as a Case of Akrasia -- 6.2.1. Philosophical Explanation of Akrasia -- 6.2.2.A Choice Between Two Actions -- 6.2.3. How Is Weakness of the Will Possible? The Principle of Continence -- 6.2.4. An Incomplete Explanation |
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Note continued: 6.2.5. Second Explanation: The Partitioning of the Mind -- 6.2.6. Partitioning of the Mind and Patient Nonadherence -- 6.3. Another Medical Example of Irrationality: The Denial of Illness -- 6.3.1. False Beliefs and Patient Nonadherence -- 6.4. Logical Mechanisms of Irrationality -- References -- 7. Time and Adherence: A Principle of Foresight -- 7.1. The Effect of Time -- 7.1.1. Time and the Choice Between Two Desires -- 7.1.2. Intertemporal Choice Between Two Rewards -- 7.1.3. The Concept of Preference Reversal -- 7.1.4. The First Solution: Precommitment Strategies -- 7.1.5. Second Solution: Intermediate Rewards -- 7.1.6.A Criticism of the Notion of Incontinent Action? -- 7.2. The Principle of Foresight -- 7.2.1. Temporality as a Criterion for Sorting the Content of Mental States and the Principle of Foresight -- 7.2.2. Implications of the Hypothesis -- 7.3. The Appearance of Adherence -- 7.3.1. From Animal to Human, a Phylogenesis of Patience |
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Note continued: 7.3.2. Development of Patience in Children: Ontogenesis -- 7.3.3. Neuroanatomy of Patience -- 7.3.4. Neurobiology of Patience -- 7.3.5. Genetics of Patience -- 7.3.6. The Appearance of Belief -- 7.4.A Pathophysiological Point of View -- 7.5.A Top-down Model of Adherence -- 7.5.1. Transmission of Principles -- 7.5.2. Medicine and Health -- References -- 8. An Intentionalist Account of Doctor-Patient Relationship and Biomedical Ethics -- 8.1. Philosophical Analysis of the Doctor-Patient Relationship -- 8.2. The Principle of Charity -- 8.2.1. Four Difficulties -- 8.2.2. Back to Patient Education -- 8.2.3. Empathy -- 8.2.4. Therapeutic Alliance -- 8.2.5. Patient's Beliefs, Physician's Beliefs -- 8.2.6. The Therapeutic Relationship -- 8.3. Adherence and Autonomy -- 8.3.1. Therapeutic Autonomy in Medical Ethics: Fourth or First Principle? -- 8.4. Philosophical Conception of Autonomy as a Reflective Activity of the Mind -- 8.4.1. Reflective Activity of the Mind |
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Note continued: 8.4.2. An Intentionalist Analysis of Autonomy -- 8.4.3. Empirical Data: Patients Do Not Always Wish to Exercise Their Autonomy -- 8.4.4. Therapeutic Autonomy and Models of the Patient-Physician Relationship -- 8.4.5. Freely Giving up Autonomy -- 8.4.6. One's Own Physician: Healing One-Self -- 8.4.7. Theoretical Limits of Empowerment -- 8.4.8. Respecting Patient Autonomy -- 8.4.9. Necessary Coexistence of Two Medical Models -- 8.4.10. Training in Autonomy: For a Medicine of the Person -- References -- 9. Doctors' Clinical Inertia as Myopia -- 9.1. Clinical Inertia: Definition and Logical Description -- 9.2. Empirical Evidence: The Paradigm Case of Psychological Insulin Resistance -- 9.3. Empathy and Sympathy -- 9.4. The Paradox of Empathy in Medical Care -- 9.5. Another Conception of Sympathy -- 9.6. Care, Sympathy, Beneficence, and Love -- 9.7. Care as a Special Form of Sympathy -- 9.8. The Respective Values of Immediacy and Future |
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Note continued: 9.9. Empathy, Sympathy, and the Ethical Dynamics of the Patient-Doctor Relationship -- 9.10.A Model of Chronic Care Involving Patient Education and Trust -- 9.10.1. Patient Education and Trust -- 9.11. Conclusion: Mind and Care -- References -- 10. Conclusion: Adherence Generalized -- 10.1.A Choice Between Two Actions -- 10.2. The Risk of Nonadherence -- 10.3. Generalization of the Problem -- 10.4. Defining Adherence by Its Explanation -- 10.5. Eros and Thanatos -- 10.5.1. Why Do We Take Care of Ourselves? The Two Meanings of Why -- 10.5.2. Foresight, Prudence, and Happiness -- 10.5.3. Eros -- References |
| Summary |
The goal of this book is to describe the mechanisms of patientsℓ́ℓ adherence to long-term therapies, whose improvement, according to the World Health Organization (WHO), would be more beneficial than any biomedical progress. For example, approximately half of the patients do not regularly follow medical prescriptions, resulting in deleterious effects on peopleℓ́ℓs health and a strong impact on health expenditure. This book describes how our beliefs, desires, and emotions intervene in our choices concerning our health, by referring to concepts developed within the framework of the philosophy of mind. In particular, it tries to explain how we can choose between an immediate pleasure and a remote rewardℓ́ℓpreserving our health and our life. We postulate that such an ℓ́ℓintertemporalℓ́ℓ choice can be directed by a ℓ́ℓprinciple of foresightℓ́ℓ which leads us to give priority to the future. Just like patientsℓ́ℓ non-adherence to prescribed medications, doctors often donℓ́ℓt always do what they should: They are non-adherent to good practice guidelines. We propose that what was recently described as ℓ́ℓclinical inertiaℓ́ℓ could also represent a case of myopia: From time to time doctors fail to consider the long-term interests of their patient. Both patientsℓ́ℓ non-adherence and doctorsℓ́ℓ clinical inertia represent major barriers to the efficiency of care. However, it is also necessary to respect patientsℓ́ℓ autonomy. The analysis of relationship between mind and care which is provided in this book sheds new light on the nature of the therapeutic alliance between doctor and patient, solving the dilemma between the ethical principles of beneficence and autonomy |
| Analysis |
filosofie |
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philosophy |
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bioethics |
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geneeskunde |
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medicine |
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Philosophy (General) |
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Filosofie (algemeen) |
| Bibliography |
Includes bibliographical references and index |
| Notes |
English |
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Online resource; title from PDF title page (SpringerLink, viewed January 28, 2015) |
| Subject |
Patient compliance.
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Patient Compliance
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Patient Acceptance of Health Care
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MEDICAL -- Pharmacology.
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Patient compliance
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| Form |
Electronic book
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| Author |
Solovieva, Nastya, translator
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| ISBN |
9783319122656 |
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3319122657 |
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3319122649 |
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9783319122649 |
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