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Chapter 11

PSYC 471 Chapter 11: Why we do what we do-Chapter 11

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PSYC 471
Richard Koestner

Chapter 11: Promoting Healthy Behaviour People are behaving themselves to death Why do so many people fail to lose weight, quit smoking etc.? Reasons for Change: Autonomous vs. controlled Autonomous=most ready Why do they fail? Because most bad habits are avoidant coping mechanisms in order to truly be ready to change you have to be ready to accept the emotions etc. youre trying to avoid Study: Ryan et al Participants really doing it autonomously stuck with alcohol addiction treatment and achieved concrete results Physiological addiction etc. but its psychological processes that cause the B not physiological Noncompliance with medical regimens Since noncompliance is a major issue many healthcare providers take a heavy handed approach and try to control clients Deci: it shouldnt even be thought of as compliance because that implies a lack of autonomy Study: Williams and Rodin Patients who endorsed autonomous reasons for taking medication were more reliable in following their prescriptions Supporting patients autonomy Doctors=oneup position Can easily feel controlling Study: Williams, Ryan and Deci Weight loss program Perceived staff as autonomy supportive Endorsed autonomous reasons for adhering to program predicted maintained weight loss The biopsychosocial approach Biomedical: technical, narrow specializations, not relating to patients as people Biopsychosocial: many levels all relating to each other E.g. Hans Selye E.g. motivational underpinnings B health E.g. social norms If autonomous then will be less likely to engage in risky B in the first place but also more likely to get unhooked Patient centred healthcarehas all the features of autonomy support: taking perspective, offering choice, providing relevant info, giving rationale, acknowledging others feelings, minimizing controlling language Responsibility and autonomy support Doctor cannot force a person to feel responsible for their actions, if the doctor is controlling people often get defensive and defiant
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