Analyzing client statements to identify affective and cognitive resistance to new health information
Analyzing client statements to identify affective and cognitive resistance to new health information

Summary/Abstract: A content analysis method is described which is applied to patient statements to help identify types of resistance or opposition felt or thought after receiving new health information or lifestyle change instructions. The classification of statements into affective and cognitive speech acts is applicable to any health issue wither with single cases or with groups. The client statements are collected from spontaneous oral exchanges or from prompted written responses. A classification scheme is suggested involving a dynamic matrix of two behavioral domains and three intensity levels of resistance. Keeping track of such classified lists over cumulative sessions with a patient can help health professionals keep better track of the causes of non-adherence and provides specific interventions which may counteract or modify resistive negative speech acts in the patient’s future statements. To illustrate the speech acts analysis technique data from respondents are reported with specific examples for each of the speech act categories.

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