Constructing agency in treatment decisions: negotiating responsibility in cancer

Bishop, Felicity L. and Yardley, Lucy (2004) Constructing agency in treatment decisions: negotiating responsibility in cancer. Health, 8, (4), 465-482. (doi:10.1177/1363459304045699) (PMID:15358899)

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Description/Abstract

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.

Item Type:Article
ISSN:1363-4593 (print)
Uncontrolled Keywords:cancer, complementary medicine, discourse analysis, treatment decisions
Subjects:B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
R Medicine > RM Therapeutics. Pharmacology
Divisions:University Structure - Pre August 2011 > School of Psychology > Division of Human Wellbeing
ePrint ID:18465
URI:http://eprints.soton.ac.uk/id/eprint/18465
Deposited On:16 Dec 2005
Last Modified:01 Jun 2011 11:59

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