http://ps.psychiatryonline.org/cgi/content/abstract/ps;57/11/1636

Shared Decision Making and Medication Management in the Recovery Process
Patricia E. Deegan, Ph.D. and Robert E. Drake, M.D., Ph.D.
Mental health professionals commonly conceptualize medication management for
people with severe mental illness in terms of strategies to increase
compliance or adherence. The authors argue that compliance is an inadequate
construct because it fails to capture the dynamic complexity of autonomous
clients who must navigate decisional conflicts in learning to manage
disorders over the course of years or decades. Compliance is rooted in
medical paternalism and is at odds with principles of person-centered care
and evidence-based medicine. Using medication is an active process that
involves complex decision making and a chance to work through decisional
conflicts. It requires a partnership between two experts: the client and the
practitioner.

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