Abstract
The Health Belief Model proposes that medical treatment and patient self-care plans need to be congruent with the client's illness beliefs. When the client's illness attributions are compatible, the client is more likely to comply with both medical treatment and self-care. The authors emphasize the internal versus external locus of control dimension in illness attributions. Clients may believe that the illness is outside of personal control and that only external treatment such as surgery or medication will help. With such beliefs in place, the client is unlikely to be open to a regimen emphasizing self-regulation and personal behavioral changes. The authors propose that biofeedback and somatic feedback exercises provide effective tools for changing illness attributions and awaken the client to the impact of thoughts and emotions on physiology. A case study and a description of a somatic feedback exercise illustrate the approach.
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