ArticleQualitative health research2020
Adherence and the Moral Construction of the Self: A Narrative Analysis of Anticoagulant Medication.
Article in Qualitative health research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Food Improvement Goals in Schools (FIGS I): a qualitative evaluation of a whole-school approach to healthy food provision in primary schools.BMC public health · 2026Article
- How do BMI-restrictive policies impact women seeking NHS-funded IVF in the United Kingdom? A qualitative analysis of online forum discussions.Reproductive health · 2024Article
- Living with polypharmacy: a narrative interview study with older Pakistanis in East London.BMC geriatrics · 2023Article
- A phenomenological analysis of the experience of taking medication to prevent a further heart attack.Scientific reports · 2021Article
- Self-Management in Older Pakistanis Living With Multimorbidity in East London.Qualitative health research · 2021Article
- Organising polypharmacy: unpacking medicines, unpacking meanings-an ethnographic study.BMJ open · 2021Article
- Article
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4 authors.
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Abstract
In this article, we examine illness narratives to illuminate the discursive work that patients undertake to construct themselves as "good" and adherent. Biographical narrative interviews were undertaken with 17 patients receiving anticoagulation for stroke prevention in atrial fibrillation, from five English hospitals (May 2016-June 2017). Through pluralistic narrative analysis, we highlight the discursive tensions narrators face when sharing accounts of their medicine-taking. They undertake challenging linguistic and performative work to reconcile apparently paradoxical positions. We show how the adherent patient is co-constructed through dialogue at the intersection of discourses including authority of doctors, personal responsibility for health, scarcity of resources, and deservingness. We conclude that the notion of medication adherence places a hidden moral and discursive burden of treatment on patients which they must negotiate when invited into conversations about their medications. This discursive work reveals, constitutes, and upholds medicine-taking as a profoundly moral practice.
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