This paper discusses the phenomenon of resistance and psychological reactance in medical and health education/promotion settings. The theoretical background of resistance and reactance and the differences between the two is first described. The core meaning structures behind it as well as personality and developmental characteristics associated with it is then described. The research on reactance and Type A behaviour in health and medical situations is then discussed. Finally, strategies for reducing reactance in medical and health promotion settings is presented.
Greenson RRThe technique and practice of psychoanalysis. The International Psychoanalytic Library, 74. London: Hogarth and Institute of Psychoanalysis, 1985.
2.
Meichenbaum D., Gilmore B.Resistance: From a cognitive-behavioral perspective. In: P Wachtel (Ed.), Resistance: Psychodynamic and behavioral approaches. New York: Plenum,1982.
3.
Mahoney MJHuman Change Processes. New York: Basic Books,1991.
4.
Dowd ET, Seibel CAA cognitive theory of resistance and reactance: Implications for treatment . Journal of Mental Health Counseling, 1990 : 12: 458-469.
5.
Brehm JWA Theory of Psychological Reactance. New York: Academic Press, 1966.
6.
Brehm SS, Brehm JWPsychological Reactance: A theory of freedom and control. New York: Academic Press, 1981.
7.
Merz J. (1983). Fragebogen zur Messung der psychologischen Reactanz . Diagnostica (Band XXIX), 75-82.
8.
Dowd ET, Milne CR, Wise SLThe Therapeutic Reactance Scale: A measure of psychological reactance. Journal of Counseling and Development, 1991:69:541-545.
9.
Hong S., Page S.A psychological reactance scale: Development, factor structure, and reliability . Psychological Reports, 1989:64:1323-1326.
10.
Dowd ETStasis and change in cognitive psychotherapy: Client resistance and reactance as mediating variables. In: W Dryden , P Trower (Eds), Cognitive Psychotherapy: Stasis and Change. New York: Springer, 1989.
11.
Baumeister RFIdentity: Cultural Change and the Struggle for Self. New York: Oxford University , 1986.
12.
Dowd ETDifferences in psychological reactance between two German and two American samples. Unpublished manuscript, Kent State University , Kent, Ohio,1996.
13.
Dowd ET, Courchaine KEImplicit learning, tacit knowledge, and implications for stasis and change in cognitive psychotherapy. journal ofCognitive Psychotherapy: An International Quarterly, 1996: 10: 163-180.
14.
Dowd ET, Wallbrown F.Motivational components of psychological reactance. Journal of Counseling and Development, 1993:71:533-538.
15.
Dowd ET, Wallbrown F., Sanders D., Yesenosky JM (1994). Psychological reactance and its relationship to normal personality variables. Cognitive Therapy and Research , 1994: 18:601-612.
16.
Weathers PLA test of psychological reactance theory in a correctional setting . Dissertation Abstracts International, 1995 : 56(3-B): 1714.
17.
Palmentera CMPsychological reactance, stress, and coping styles. Unpublished doctoral dissertation , Kent State University, Kent, Ohio , 1996.
18.
Seibel CA, Dowd ETPersonality characteristics associated with psychological reactance. Journal of Clinical Psychology, 2001: 57: 963-969.
19.
Johnson P., Buboltz WC Jr. Differentiation of self and psychological reactance . Contemporary Family Therapy: An International journal, 2000 : 22: 91-102.
20.
Dowd ET, Pepper H.F., Seibel CADevelopmental correlates of psychological reactance. Journal of Cognitive Psychotherapy: AnInternational Quarterly, 2001: 15: 239-252.
21.
Dodds JAAnger, hostility, and psychological reactance. Unpublished doctoral dissertation , Kent State University, Kent, Ohio , 1996.
Rhodewalt F. , Davison J.Reactance and the coronary-prone behavior pattern: The role of self-attribution in responses to reduced behavioral freedom . Journl of Personality and Social Psychology, 1983: 44: 220-228.
24.
Carver CSPerceived coercion, resistance to persuasion, and the Type A behavior pattern . Journal of Research in Personality, 1980 : 45: 501-512.
25.
Graybar SR, Antonuccio DO, Boutilier LR, Varble DLPsychological reactance as a factor affecting patient compliance to physician advice. Scandinavian journal of Behaviour Therapy , 1989: 18: 43-51.
26.
Rhodewalt F. , Marcroft M.Type A behavior and diabetic control: Implications of psychological reactance for health outcomes. journal of Applied Social Psychology, 1988: 18: 139-159.
27.
Rhodewalt R. , Strube MJA self attribution reactance model of recovery from injury in Type A individuals. Journal of Applied Social Psychology, 1985: 15: 330-344.
28.
Bensley LS, Wu R.The role of psychological reactance in drinking following alcohol prevention messages. Journal of Applied Social Psychology , 1991: 21: 1111-1124.
29.
Fogarty JS, Youngs GA Jr.Psychological reactance as a factor in patient noncompliance with medication-taking: A field experiment. Journal of Applied Social Psychology, 2000: 30: 2365-2391.
30.
Gilbert DCPsychological reactance and alcohol use among college students: Implications for interventions. Dissertation Abstracts International, 1998: 59(5-B): 2417.
31.
Vaughan GNThe treatment utility of the Therapeutic Reactance Scale in relation to single session hypnosis for smoking cessation. Dissertation Abstracts International, 1995: 56(4-B): 2345.
32.
Boyd MADieting behavior as a function of reactance. Dissertation Abstracts International, 1986: 50(7-B): 2842.
33.
Seibel CA, Dowd ETReactance and therapeutic noncompliance. Cognitive Therapy and Research, 1999: 23: 373-379.
34.
Fogarty JSReactance theory and patient noncompliance. Social Science and Medicine, 1997:45: 1277-1288.
35.
Rhodewalt F. , Fairfield M.An alternative approach to Type A behavior and health: Psychological reactance and medical noncompliance. Journal of Social Behavior and Personality, 1990:5:323-342.
36.
Beck JSCognitive Therapy: Basics and Beyond. New York: Guilford,1995.