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Self-Governed Agency

A Feminist Approach to Patient Noncompliance

Bibliographic Data

ID17814295
AuthorsRuth Tallman (corresponding author)
Year2018
Volume11
Issue1
Pages76-90
Publication date2018-02-01
Open AccessNo
TypeARTICLE
VenueInternational Journal of Feminist Approaches to Bioethics (JOURNAL)
Journal identifiersISSN: 1937-4577 • E-ISSN: 1937-4585
PublisherUniversity of Toronto Press Inc. (UTPress) (PUBLISHER)
DOI10.3138/ijfab.11.1.76
OpenAlexW2791951674
LanguageEN
References cited12

In this paper, I consider Michael Bratman's account of self-governed agency as a lens through which to understand and respond better to patient noncompliance. I argue that, to the extent we ought to understand patients as ordinary people in their capacity to evaluate, choose, and act, we ought to accept that noncompliance could be a rational decision deserving of respect. Understanding noncompliance as rational can benefit the doctor-patient relationship in that the two can work toward mutually agreed upon goals—even when those goals prioritize nonhealth-related values. I argue that this promises benefits both to patient health and medical efficiency

Economics · Epistemology · Positive economics · Sociology · Engineering · Healthcare cost, quality, practices · Mental Health and Psychiatry · Patient-Provider Communication in Healthcare · Philosophy · Psychology · Social Psychology

  • Shared Agency

    Michael E Bratman•Shared Agency•2014

  • Knowledge is not power for patients

    Open Access•Natalie Joseph-Williams, Glyn Elwyn et al.•Patient Education and Counseling•2014

  • Four Models of the Physician-Patient Relationship

    Ezekiel J Emanuel•JAMA•1992

  • Why Doctors Should Intervene

    Terrence F Ackerman•The Hastings Center Report•1982

  • Assessments of the extent to which health‐care providers involve patients in decision making

    Open Access•Nicolas Couët, Sophie Desroches et al.•Health Expectations•2015

  • Why don't patients do their exercises? Understanding non-compliance with physiotherapy in patients with osteoarthritis of the knee

    Rona Campbell, M Evans et al.•Journal of Epidemiology and…•2001

  • Structures of Agency

    Michael E Bratman•Structures of Agency•2007

  • Self-Constitution

    Christine M Korsgaard•Self-constitution•2009

Highly citedNo

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