A clarification on the use of the term “compliance”

This letter discusses the use of the term "compliance". The term compliance has its roots in pharmacological research. In time, the term compliance was adopted in areas related to cognitive behavioral therapy (CBT). The therapeutic alliance is an operational concept that embodies a process, an evolution, a bond built over time dial goes through the normal break-ups and repairs that occur within the diagnostic/therapeutic course of treatment, and on which the clinician works together with the patient. This partnership is thus the result of a process of continuous negotiation between the therapist and the patient, in which the subconscious dynamics of the patient have great importance. Compliance, comes from a good therapeutic alliance, from the quality of the therapeutic relationship that the doctor is able to establish with the patient, and is the result of a multi-dimensional process, in which the locus cannot only be on "which" therapy to prescribe, but must also be on "how " to prescribe it.