An intergroup perspective in the legal context highlights the influence of group membership on the interaction between authorities and citizens. Social identity influences communication both in the field (e.g., police–civilian) and in the courtroom (e.g., juror deliberation). The research in the law enforcement context addresses trust in police officers, the communication accommodation between police and civilians, sociodemographic stereotypes impacting police–civilian encounters, the role of police media portrayals, and its influence on intergroup exchanges between police and civilians. Juries are inextricably influenced by group membership cues (e.g., race and gender), and differentiate those in the ingroup over the outgroup. The impact of stereotypes and intergroup bias is evident in the literature on jury decisions and the severity of punitive sentencing. These and other factors make the intergroup nature of the legal context significant, and they determine the interconnection between the parties involved. Specifically, the social identity approach brings focus to the biases, attributions, and overall evaluations of the perceived outgroup. The research indicates that diversity is necessary to alleviate the intergroup mindset, thereby encouraging a more interindividual viewpoint of those outgroup members.
Charles W. Choi
Teresa L. Thompson and Kelly Haskard-Zolnierek
Patient adherence (sometimes referred to as patient compliance) is the extent to which a patient’s health behavior corresponds with the agreed-upon recommendations of the healthcare provider. The term patient compliance is generally synonymous with adherence but suggests that the patient played a more passive role in the healthcare professional’s prescription of treatment, whereas the term adherence suggests that the patient and healthcare professional have come to an agreement on the regimen through a collaborative, shared decision-making process. Another term related to the concept of adherence is persistence (i.e., taking a medication for the recommended duration). Some patients are purposefully or intentionally nonadherent, whereas others are unintentionally nonadherent due to forgetfulness or poor understanding of the regimen. Patients may be intentionally nonadherent because of a belief that the costs of the regimen outweigh the benefits, for example. Nonadherence behaviors in medication taking include never filling a prescription, taking too much or too little medication, or taking a medication at incorrect time intervals. Patient adherence is relevant not only in medication-taking behaviors, but also in health behaviors such as following a specific dietary regimen, maintaining an exercise program, attending follow-up appointments, getting recommended screenings or immunizations, and smoking cessation, among others. A number of factors predict patient adherence to treatment, but the relationship between provider-patient communication and adherence to treatment will be stressed. Focusing on recent research, the article examines the concept of patient adherence, describes how provider-patient communication can enhance patient adherence, explains what elements of communication are relevant for adherence, and illustrates how interventions to improve communication can improve adherence.