Following this first introductory chapter, Chap. 2 is an overview of classical psychological models of nonadherence. Chapter 3 introduces basic philosophical concepts, and presents a short account of the concept of “Intentionality ”. Chapter 4 provides an “intentionalist ” model of adherence. Chapter 5 presents a dynamic view of intentionality , by integrating in this model the concepts of motivational force , self-control , habit and resolution . Chapter 6 describes patient nonadherence as a case of weakness of will , or akrasia . Chapter 7 considers more specifically the temporal dimension of adherence and nonadherence in chronic diseases , focusing on the description of a principle of foresight , a concept introduced in this book: Nonadherence may be understood as a failure to give priority to the future . Chapter 8 outlines the consequences of this insight on the therapeutic alliance between doctor and patient and addresses ethical issues. Chapter 9 shows that doctors too may fail to consider the future interests of the patient: Thus, like patients’ nonadherence to medical recommendations, doctors’ clinical inertia could represent a case of clinical myopia . Chapter 10 generalizes the problem of adherence and proposes a relationship between the fact of taking care of oneself and self-love .
References
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Briesacher BA, Andrade SE, Fouayzi H, Chan KA. Comparison of drug adherence rates among patients with seven different medical conditions. Pharmacotherapy. 2008;28:437–43.CrossRef
Cavanaugh K, Huizinga MM, Wallston KA, Gebretsadik T, Shintani A, Davis D, Gregory RP, Fuchs L, Malone R, Cherrington A, Pignone M, DeWalt DA, Elasy TA, Rothman RL. Association of numeracy and diabetes control. Ann Intern Med. 2008;148:737–46.CrossRef
Cramer JA. A systematic review of adherence with medication for diabetes. Diabetes Care. 2004;27:1218–24.CrossRef

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