Abstract
The concept of symptom-avoidance behavior is discussed, with particular reference to home intravenous hyperalimentation (HIVH) patients. Symptom-avoidance behavior is explained as a combination of a health behavior model and an expectancy motivational theory leading to a basic outcome, which is satisfactorily avoiding the onset of symptoms. A systematic behavioral assessment method is presented, based on anecdotal cases; it is experimental in nature and can serve as a guide for practitioners who wish to initiate HIVH.
Get full access to this article
View all access options for this article.
References
1.
Byrne
WJ
Ament
ME
Burke
M
Fondalstrud
E.
Home parenteral nutrition . Surg Gynecol Obstet
1979 ; 149 : 593 –9 .
2.
Dudrick
SJ
Englert
DM
. Total care of the patient receiving total parenteral nutrition . Psychosom Med
1980 ; 21 : 109 –10 .
3.
Dudrick
SJ
Englert
DM
MacFadyen
BV
Souchon
EA
. A vest for ambulatory patients receiving hyperalimentation . Surg Gynecol Obstet
1979 ; 148 : 587 –90 .
4.
Dudrick
SJ
Copeland
EM
Daly
JM
, A clinical review of nutrition support of the patient . J Paren Enter Nutr
1979 ; 3 : 441 –51 .
5.
Jonsen
AR
. Ethical problems in home total parenteral nutrition . J Paren Enter Nutr
1979 ; 3 : 169 –70 .
6.
Jeejeebhoy
KN
Anderson
GH
Sanderson
I
Bryan
MH
. Total parenteral nutrition: Nutrient needs and technical tips (reprint) . Mod Med Canada
1974 ; 29 : 1 –14 .
7.
Goldberger
JH
Delvia
FG
Wesselhoeft
CW
Randall
HT
. A home program of long-term total parenteral nutrition in children . J Pediatr
1979 ; 94 : 325 –8 .
8.
Price
BS
Levine
EL
. Permanent total parenteral nutrition: Psychological and social responses in the early stages . J Paren Enter Nutr
1979 ; 3 : 48 –52 .
9.
Schneider
PJ
Mirtallo
JM
. Home parenteral nutrition programs . J Paren Enter Nutr
1981 ; 5 : 157 –60 .
10.
Perl
M
Hall
RCW
Dudrick
SJ
, Psychological aspects of long-term home hyperalimentation . J Paren Enter Nutr
1980 ; 4 : 554 –60 .
11.
Malcolm
R
Robson
JRK
Vanderveen
TW
O'Neil
PM
. Psychosocial aspects of total parenteral nutrition . Psychosom Med
1980 ; 21 : 115 –25 .
12.
Kübler-Ross
E.
Death: The final stage of growth . Englewood Cliffs, NJ : Prentice-Hall , 1975 : 145 –63 .
13.
Abram
HS
. The psychology of chronic illness (editorial) . J Chronic Dis
1972 ; 25 : 659 –63 .
14.
Feldman
DJ
. Chronic disabling illness: A holistic view . Chronic Dis
1974 ; 27 : 287 –91 .
15.
Strauss
AL
. Chronic illness and the quality of life . New York : CV Mosby , 1975 : 21 –9 , 39 –43 .
16.
Mechanic
D.
Stress, illness, and illness behavior . J Human Stress
1976 ; 3 : 2 –6 .
17.
Kasl
SA
Cobb
S.
Health behavior, illness behavior, and sick role behavior. I. Health and illness behavior . Arch Environ Health
1966 ; 12 : 246 –66 .
18.
Porter
LW
Lawler
EE
. Managerial attitudes and performance . Homewood, IL : Richard D. Irwing , 1968 : 165 .
19.
O'Donoghue
FP
Borgerson
C.
Training and utilization of nurse therapists in a behavioral therapy clinic . Can J Psychiatry
1978 ; 25 : 35 –7 .
20.
Becker
MH
Maiman
LA
. Sociobehavioral determinants of compliance with health and medical regimens . Med Care
1975 ; 13 : 10 –24 .
21.
Goffman
E.
Stigma: Notes on the management of spoiled identity . Englewood Cliffs, NJ : Prentice-Hall , 1963 : 138 .