Constructing agency in treatment decisions: negotiating responsibility in cancer

被引：49

作者：

Bishop, FL ^{[1
]}

Yardley, L ^{[1
]}

机构：

[1] Univ Southampton, Sch Psychol, Southampton SO17 1BJ, Hants, England

来源：

HEALTH | 2004年 / 8卷 / 04期

关键词：

cancer; complementary medicine; discourse analysis; treatment decisions;

D O I：

10.1177/1363459304045699

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

People belonging to cancer patient support groups participated in focus groups concerning their experiences of orthodox and complementary medicine. Their accounts of treatment decisions for cancer were analysed through discourse analysis. Accounts of both complementary and orthodox medicine addressed an ideological dilemma concerning the positioning of individuals as active or passive. Active positions were congruent with the everyday value of autonomy and responsible individuality, but conflicted with the established expertise of the medical profession in cancer and entailed being accountable for one's health. Passive positions reversed this situation. Complementary medicine provided an opportunity for people with cancer to negotiate active positions in a limited domain of health care. The responsibility for health associated with taking active treatment decisions was problematic in accounts of both orthodox and complementary medicine.

引用

页码：465 / 482

页数：18

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