Document Detail


No one listens to me, nobody believes me: self management and the experience of living with encephalitis.
MedLine Citation:
PMID:  20488605     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Over the past twenty years, there has been considerable interest in individuals' experience of chronic illness. In addition to the more established concerns of medical sociology, recent policy reflects an interest in how individuals manage their condition. Using material from qualitative interviews with 23 individuals carried out in the United Kingdom, this paper examines a person's experience following encephalitis, as a way of exploring the potential value of current policy initiatives associated with self-management. Our findings suggest that individuals' illness experiences become embedded in conditional acceptance derived from and sustained through their social relationships. This raises a fundamental policy tension: is the purpose of current self-management strategies to help individuals cope better with illness or with the context in which their illness experience is realised? We conclude that policy needs to question how it 'imagines' long-standing conditions, without recourse to generalised notions of coping and adjustment. This, in turn, means adapting a less instrumental and more contextualised approach to self-management.
Authors:
Karl Atkin; Sally Stapley; Ava Easton
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-05-18
Journal Detail:
Title:  Social science & medicine (1982)     Volume:  71     ISSN:  1873-5347     ISO Abbreviation:  Soc Sci Med     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-14     Completed Date:  2010-07-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8303205     Medline TA:  Soc Sci Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  386-93     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Health Sciences, Alcuin College, University of York, Seebohm Rowntree Building, York YO10 5DD, United Kingdom. ka512@york.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Adult
Aged
Chronic Disease
Cost of Illness
Diagnostic Errors
Encephalitis / diagnosis,  psychology*,  therapy
Female
Humans
Interpersonal Relations
Interviews as Topic
Male
Middle Aged
Patient Satisfaction / statistics & numerical data*
Physician-Patient Relations
Qualitative Research
Self Care*
Social Perception*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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