Skip to main content

Cognitive Aspects of Illness and Health

  • Chapter
Health Psychology

Abstract

One of the fundamental issues in medicine is that of noncompliance, that is, the decision of the patient to delay, reduce, or terminate treatment. The premise of this paper is that noncompliance is not simply inadequate communication on the part of the physician, i.e., not enough objective information, nor is it solely the result of poor coping mechanisms, e.g., denial on the part of the patient. Rather, noncompliance is primarily the result of cognitive dissonance between models which are held by the patient versus models which are held by the physician.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Ajzen, I. and Fishbein, M., 1974, Factors influencing intentions and the intention-behavior relation, Human Relations, 27:1.

    Article  Google Scholar 

  • Ajzen, I. and Fishbein, M., 1972, Attitudes and normative beliefs as factors influencing behavioral intentions, J Pers Soc Psychol, 21:1.

    Article  Google Scholar 

  • Alonzo, A., 1980, Acute illness behavior: A conceptual exploration and specification, Soc Sci and Med, 14:515.

    Google Scholar 

  • Arkko, P.J., Arkko, B., Kari-Koskinen, O. and Taskinen, P.J., 1980, A survey of unproven cancer remedies and their users in an outpatient clinic for cancer therapy in Finland, Soc Sci Med, 14:511.

    Google Scholar 

  • Cohen, R.E., Ruckdeschel, J.C., Blanchard, C.G., Rohrbaugh, M. and Horton, J., 1982, Attitudes toward cancer, Cancer, 50:1218.

    Article  PubMed  Google Scholar 

  • Fishbein, M., 1975, “Beliefs, Attitude, Intention, and Behavior: An Introduction to Theory and Research.” Addison-Wesley Co., Reading, Massachusetts.

    Google Scholar 

  • Janis, I.L. and Feshbach, S., 1953, Effects of fear-arousing communication, J Abnor Soc Psychol, 48:78.

    Article  Google Scholar 

  • Johnson, J. and Leventhal, H., 1974, Effects of accurate expectations and behavioral instructions on reactions during a noxious medical examination, J Per Soc Psychol, 29:710.

    Article  Google Scholar 

  • Kaplan, K.H., and Fishbein, M., 1969, The source of beliefs, their saliency, and prediction of attitude, J Soc Psychol, 78:63.

    Article  Google Scholar 

  • Leventhal, H., 1965, Fear communications in the acceptance of preventative health practices, Bull N.Y. Acad Med, 41:1144.

    PubMed  Google Scholar 

  • Leventhal, H., and Cleary, P.D., 1980, The smoking problem: A review of the research and theory in behavioral risk modification, Psychol Bull, 88:370.

    Article  PubMed  Google Scholar 

  • Leventhal, H., Nerenz, D. and Straus, A., 1980, Self-regulation and the mechanisms for symptom appraisal, in “Psychosocial Epidemiology,” D. Mechanic, ed., Neal Watson, New York.

    Google Scholar 

  • Leventhal, H., Singer, R. and Jones, S., 1965, Effects of fear and specificity of recommendation upon attitudes and behavior, J Per Soc Psychol, 2:20.

    Article  Google Scholar 

  • Leventhal, H. and Watts, J.C., 1966, Sources of resistance to fear-fear-arousing communications on smoking and lung cancer, J Personality, 34:155.

    Article  PubMed  Google Scholar 

  • Miller, P., Johnson, N.L., Garrett, M., Wickoff, R. and McMahon, M. 1982, Health beliefs of and adherence to the medical regimen by patients with ischemic heart disease, Heart and Lung, 11: 332.

    PubMed  Google Scholar 

  • Nerenz, D.R., Leventhal, H. and Love, R.R., 1982, Factors contributing to emotional distress during cancer chemotherapy, Cancer, 50:1020.

    Article  PubMed  Google Scholar 

  • Pennebaker, J.W., 1981, Stimulus characteristics influencing estimation of heart rate, Psychophysiology, 18:540.

    Article  PubMed  Google Scholar 

  • Pennebaker, J.W., Gonder-Frederick, L., Stewart, H., Elfman, L., and Skelton, J.A., 1982, Physical symptoms associated with blood pressure, Psychophysiology, 19:201.

    Article  PubMed  Google Scholar 

  • Pennebaker, J.W. and Lightner, J.M., 1980, Competition of internal nal and external information in an exercise setting, J Per Soc Psychol, 39:165.

    Article  Google Scholar 

  • Pennebaker, J.W., and Skelton, J.A., 1981, Selective monitoring of physical sensations, J Per Soc Psychol, 41:213.

    Article  Google Scholar 

  • Rickels, K., 1968, “Non-specific Factors in Drug Therapy,” Charles C. Thomas, Springfield, Ill.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1985 Plenum Press, New York

About this chapter

Cite this chapter

Zeiner, H.K. (1985). Cognitive Aspects of Illness and Health. In: Zeiner, A.R., Bendell, D., Walker, C.E. (eds) Health Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-4901-3_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-4684-4901-3_9

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-4903-7

  • Online ISBN: 978-1-4684-4901-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics