When a health care professional is meeting with a patient who has not complied with medical recommendations, subsequent compliance is more likely if the health care professional demonstrates disappointment and impatience while analyzing the reasons for noncompliance and developing a corrective action plan.
However, this holds true only when the complaint desk staff demonstrate their commitment to solving the problem and when the health care professional’s initial reaction is positive concern for the noncompliant patient. We want to induce guilt without activating shame. The distinction is that shame arises when a person perceives not only that they’ve behaved badly, but also that the bad behavior signaled an immoral personality.
Guilt motivates attention to the specific behavior or behaviors. Shame instead motivates attention to the self in ways which make it harder for a person to see their positive qualities. It can lead to self-punishment. When a consumer feels ashamed, they’ll want to run from those who are making them feel that way, and we don’t want our consumers running away from us.
Yet how about the situations in which the consumer can’t run away? In this case, a small dose of shame might turn the trick.
A set of studies at Imperial College London, University of Chicago, Monash University, and University of Warwick explored reminder alternatives when a government agency has overpaid a citizen on a claim and is now demanding that the citizen reimburse the excess. Ivo Vlaev, Professor of Behavioural Science at Warwick Business School, and his fellow researchers compared two messages to be sent to debtors. One message framed the nonpayment as a matter of omission or inaction: “Our records show you have not been in touch about this.” The other message framed the nonpayment as an intentional commission: “Our records show you have not been in touch about this. Previously, we treated your lack of response as an oversight. Now, if you do not call [telephone number], we will treat this as an active choice.”
Repayment rates within 30 days of message receipt were almost double with the commission phrasing compared to the omission framing, 23% rather than 12%.
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Mirror Responsibility at Complaint Desks
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