Inverting compliance, increasing concerns: aging, mental health, and caring for a trustful patient

Why, after 40 years of intensive research, is adherence to treatment still an issue? This paper suggests a possible solution to an apparently unsolvable problem: reconceptualizing adherence. To understand how adherence can affect key personnel in any western health system, this study focuses on comm...

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Bibliographic Details
Published in:Anthropology & medicine 2010-08, Vol.17 (2), p.145-158
Main Author: Leibing, Annette
Format: Article
Language:English
Subjects:
Adherence
Aged
Aged, 80 and over
Aging
Caring
community nurses
Compliance
Conflict
Doctor-patient relationship
Health Care Services
Health Professions
Humans
matters of concern
Medical anthropology
Medical personnel
Mental health
Mental health care
Mental Health Services
Mental Patients
Nurse patient relationships
Nurse-Patient Relations
Nurses
older mental health patients
Paternalism
Patient care
Patient Compliance
Patients
Power
Quebec
Trust
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Summary:Why, after 40 years of intensive research, is adherence to treatment still an issue? This paper suggests a possible solution to an apparently unsolvable problem: reconceptualizing adherence. To understand how adherence can affect key personnel in any western health system, this study focuses on community nurses working with older mental health patients in Québec. When they spoke about adherence, nurses presented an idealized image of the nurse-patient relationship, namely, the caring nurse and the trustful patient. However, this idealization cannot be reduced only to questions of power and paternalism. By reconceptualizing adherence as a 'matter of concern', health professionals and researchers alike might come to understand individual care situations within a broader notion of conflicts in patient care.
ISSN:1364-8470
1469-2910
DOI:10.1080/13648470.2010.493600