Abstract

This paper attempts to determine the best way to understand-and, thus, treat—patients who claim to hold certain health—related values and goals yet consistently act in ways that undermine and work against those values and goals. Since at least the 1970s, this phenomenon has been known in the medical community as patient noncompliance. This can come in the form of failure to take medication as prescribed, as well as failure to adhere to any number of doctors' orders, including recommendations to modify diet, exercise, quit smoking, and so forth. Such cases are a source of great frustration for health care professionals because these patients present in their clinics with a health problem...