Cognitive Aspects of Illness and Health

  • Harriet Katz Zeiner


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.


Skin Temperature Cardiac Rehabilitation Nasal Congestion Cognitive Dissonance Cognitive Aspect 
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  1. Ajzen, I. and Fishbein, M., 1974, Factors influencing intentions and the intention-behavior relation, Human Relations, 27:1.CrossRefGoogle Scholar
  2. Ajzen, I. and Fishbein, M., 1972, Attitudes and normative beliefs as factors influencing behavioral intentions, J Pers Soc Psychol, 21:1.CrossRefGoogle Scholar
  3. Alonzo, A., 1980, Acute illness behavior: A conceptual exploration and specification, Soc Sci and Med, 14:515.Google Scholar
  4. 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
  5. Cohen, R.E., Ruckdeschel, J.C., Blanchard, C.G., Rohrbaugh, M. and Horton, J., 1982, Attitudes toward cancer, Cancer, 50:1218.PubMedCrossRefGoogle Scholar
  6. Fishbein, M., 1975, “Beliefs, Attitude, Intention, and Behavior: An Introduction to Theory and Research.” Addison-Wesley Co., Reading, Massachusetts.Google Scholar
  7. Janis, I.L. and Feshbach, S., 1953, Effects of fear-arousing communication, J Abnor Soc Psychol, 48:78.CrossRefGoogle Scholar
  8. 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.CrossRefGoogle Scholar
  9. Kaplan, K.H., and Fishbein, M., 1969, The source of beliefs, their saliency, and prediction of attitude, J Soc Psychol, 78:63.CrossRefGoogle Scholar
  10. Leventhal, H., 1965, Fear communications in the acceptance of preventative health practices, Bull N.Y. Acad Med, 41:1144.PubMedGoogle Scholar
  11. 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.PubMedCrossRefGoogle Scholar
  12. 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
  13. 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.CrossRefGoogle Scholar
  14. Leventhal, H. and Watts, J.C., 1966, Sources of resistance to fear-fear-arousing communications on smoking and lung cancer, J Personality, 34:155.PubMedCrossRefGoogle Scholar
  15. 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.PubMedGoogle Scholar
  16. Nerenz, D.R., Leventhal, H. and Love, R.R., 1982, Factors contributing to emotional distress during cancer chemotherapy, Cancer, 50:1020.PubMedCrossRefGoogle Scholar
  17. Pennebaker, J.W., 1981, Stimulus characteristics influencing estimation of heart rate, Psychophysiology, 18:540.PubMedCrossRefGoogle Scholar
  18. Pennebaker, J.W., Gonder-Frederick, L., Stewart, H., Elfman, L., and Skelton, J.A., 1982, Physical symptoms associated with blood pressure, Psychophysiology, 19:201.PubMedCrossRefGoogle Scholar
  19. 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.CrossRefGoogle Scholar
  20. Pennebaker, J.W., and Skelton, J.A., 1981, Selective monitoring of physical sensations, J Per Soc Psychol, 41:213.CrossRefGoogle Scholar
  21. Rickels, K., 1968, “Non-specific Factors in Drug Therapy,” Charles C. Thomas, Springfield, Ill.Google Scholar

Copyright information

© Plenum Press, New York 1985

Authors and Affiliations

  • Harriet Katz Zeiner
    • 1
  1. 1.Department of Neurosurgery Clinical Neuropsychology SectionPresbyterian HospitalOklahoma CityUSA

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