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Phénoménologie de la non-observance dans les maladies chroniques

Phenomenology of non-adherence to long-term therapies

  • Thérapeutique / Therapeutics
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Résumé

On admet qu’un patient sur deux ne suit pas les recommandations médicales qui lui sont données. Cette non-observance concerne tous les aspects du soin, et ils sont souvent liés. Le but de cet article est de présenter une analyse phénoménologique de la non-observance dans les maladies chroniques, d’une part, en s’appuyant sur les données empiriques de la littérature et, d’autre part, en se référant à deux champs disciplinaires: la philosophie de l’esprit et la neuroéconomie. Nous proposons que la non-observance soit associée à deux traits de caractère: d’une part, l’impatience qui fait que certains individus donnent la priorité au présent; d’autre part, la faiblesse de la volonté qui les empêche de décider sans réserve de donner la priorité au futur. Nous suggérons que ces deux traits de caractère sont psychologiquement liés.

Abstract

One patient out of two does not follow medical recommendations. This non-adherence concerns all the aspects of the care, and they are often bunched. The purpose of this article is to present a phenomenological analysis of non-adherence to long-term therapies, on one hand by relying on empirical data found in the literature, on the other hand by referring to concepts developed by two disciplinary fields: the philosophy of mind and neuroeconomics. We propose that non-adherence is associated with two characteristics: on one hand impatience, which makes that certain individuals give the priority to the present. On the other hand, weakness of will, which prevents them from deciding wholeheartedly to give the priority in the future. We suggest that these two characteristics are psychologically linked.

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  1. Service d’endocrinologie, diabétologie, maladies métaboliques, hôpital Avicenne, AP-HP, 125, route de Stalingrad, F-93000, Bobigny, France

    G. Reach

  2. EA 3412, CRNH-IdF, université Paris-XIII, Bobigny, 125, route de Stalingrad, F-93000, Bobigny, France

    G. Reach

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Reach, G. Phénoménologie de la non-observance dans les maladies chroniques. Psychiatr Sci Hum Neurosci 8, 14–23 (2010). https://doi.org/10.1007/s11836-009-0117-z

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