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Medicine taking decisions: schizophrenia in comparison to asthma and epilepsy
Author(s) -
MARLAND G. R.,
CASH K.
Publication year - 2005
Publication title -
journal of psychiatric and mental health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 63
eISSN - 1365-2850
pISSN - 1351-0126
DOI - 10.1111/j.1365-2850.2004.00809.x
Subject(s) - typology , schizophrenia (object oriented programming) , psychology , grounded theory , context (archaeology) , psychiatry , psychosocial , epilepsy , developmental psychology , medicine , qualitative research , sociology , paleontology , social science , biology , anthropology
This paper outlines a recent PhD study that explored factors underpinning decisions of people with schizophrenia regarding neuroleptic medicine taking. Relevant studies tend to be within the world view of psychiatry, resting on traditional concepts of compliance and insight. These studies examined schizophrenia outwith the context of other illnesses taking a snap shot view of medicine taking decision making, thus de‐emphasizing its process. The chosen method of grounded theory (Glaser and Strauss 1967) overcomes these deficiencies. Stage 1 data arose from patient interviews, patients with asthma, epilepsy and schizophrenia contributed ( n = 45), carers also sometimes contributed ( n = 11), all three conditions being episodic disorders vulnerable to environmental stressors. Stage 2 develops from stage 1, mental health workers involved in the care of people with schizophrenia were interviewed, plus one asthma specialist and one epilepsy specialist ( n = 16). Their views were compared to perspectives arising from the patient interviews and were included in the data, out of which an explanatory typology emerged. The three parts of the typology comprise the study's major categories and are labelled as: direct‐reactive, deferential‐compliant, and active discerning and optimizing. Active discerning and optimizing consists of two stages; experimental‐reflective and consolidation. The core category of responsive resolution contains themes which run through all major categories.