Resistance and adherence: Understanding the patient's perspective

Krista Redlinger-Grosse

Research output: Chapter in Book/Report/Conference proceedingChapter


This chapter defines patient resistance and the related concepts of adherence and non-adherence to medical recommendations-including the different perspectives from which the patient and the genetic counselor experience resistance and non-adherence. It addresses the interacting personal, social and medical factors that contribute to resistance, with attention to the self-protective role of resistance. The chapter presents techniques by which the genetic counselor can respond effectively and empathically to resistant behavior and non-adherence to medical recommendations. Resistance to genetic counseling in general or to specific aspects may occur for many reasons both on an individual and social level. One gauge of a patient's resistance may be the degree to which they adhere (or not) to recommended care. In addition to addressing patient resistance in the session, the genetic counselor must promote the patient's accurate and timely adherence to referrals and recommendations the specific session.

Original languageEnglish (US)
Title of host publicationGenetic Counseling Practice
Subtitle of host publicationAdvanced Concepts and Skills
Number of pages21
ISBN (Electronic)9781119529873
ISBN (Print)9781119529859
StatePublished - Sep 9 2020

Bibliographical note

Publisher Copyright:
© 2021 John Wiley & Sons Ltd. All rights reserved.


  • Adherence
  • Genetic counseling
  • Medical recommendations
  • Non-adherence
  • Patient resistance
  • Resistant behavior


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