Both treatments mentioned in p6 requires the patient to have a positive attitude towards the treatment they are provided with in order for the treatment to work successfully. ‘For example, if they have a positive attitude towards taking exercise, and believe that this will improve their symptoms, their behaviour is likely to mirror this and they will be more likely to take exercise. Another example would be if the patient has a positive attitude towards taking the medication which is prescribed for him/her, and believe that this will improve their symptoms, their behaviour is likely to mirror this and they will more likely take their medication’ (Billingham et al, 2016, p.426).
Cognitive dissonance can be a factor that would make the treatments discussed in p6 not as effective as it can be for the patient. “Cognitive dissonance is a theory devised by Leon Festinger during 1919-1989. This theory states that if we believe two contradictory concepts (our cognitions), then this induces a state of discomfort (dissonance) which we are motivated to resolve. This state can occur when our attitudes and our behaviour are contradictory” (Billingham et al, 2016, p.426-7). ‘So an example of this relating to the patient may be the attitude that having alcohol is dangerous that will harm my health and can make my mood/bipolar worse, and yet the patient’s behaviour is that they persist in drinking. This contradiction between attitude and behaviour creates an internal state of dissonance. To reduce the discomfort of this feeling, the patient can rationalise their behaviour (and continue drinking) by either changing their attitude (my friend say it’s an easy way of coping) or changing their behaviour (they stop drinking)’ (Billingham et al, 2016, p.426-7).