The long-term success of medical treatments depends not only on diagnosis and therapeutic decisions, but also to a large extent on whether patients are able to integrate the recommended measures into their daily lives. Particularly in the context of chronic diseases, non-adherence represents a major challenge for modern healthcare. Despite extensive medical information, the implementation of therapeutic recommendations often remains incomplete or unstable.

This book examines the role of physician communication in the development of adherence. At its core is the IGBK model (Content, Design, Meaning, Consequence), a structured approach to analyzing communicative processes in medical consultations. The model describes adherence not as an isolated decision, but as the outcome of a dialogic negotiation process between medical expertise and an individual’s lived reality.

Combining perspectives from communication science, adherence research, and clinical practice, this book is intended for physicians who seek to improve patient adherence to treatment. It will also be of interest to individuals involved in medical education and training, as well as healthcare professionals concerned with the structural importance of communication in the treatment process.

Thomas Benoni is a systemic life and social counselor, educator, and social manager with many years of experience in educational practice as well as leadership roles. In his independent professional work, he focuses on communication, interpersonal processes, and personal development. His work combines practical approaches with well-founded theoretical models and supports individuals through processes of change and decision-making.