Moral discourses SSM submitted version.pdf (481.19 kB)
Moral discourses and pharmaceuticalised governance in households
journal contributionposted on 2020-07-22, 22:12 authored by Kevin DewKevin Dew, P Norris, J Gabe, K Chamberlain, D Hodgetts
© 2014 Elsevier Ltd. This article extends our understanding of the everyday practices of pharmaceuticalisation through an examination of moral concerns over medication practices in the household. Moral concerns of responsibility and discipline in relation to pharmaceutical consumption have been identified, such as passive or active medication practices, and adherence to orthodox or unorthodox accounts. This paper further delineates dimensions of the moral evaluations of pharmaceuticals. In 2010 and 2011 data were collected from 55 households across New Zealand and data collection techniques, such as photo- and diary-elicitation interviews, allowed the participants to develop and articulate reflective stories of the moral meaning of pharmaceuticals. Four repertoires were identified: a disordering society repertoire where pharmaceuticals evoke a society in an unnatural state; a disordering self repertoire where pharmaceuticals signify a moral failing of the individual; a disordering substances repertoire where pharmaceuticals signify a threat to one's physical or mental equilibrium; a re-ordering substances repertoire where pharmaceuticals signify the restoration of function. The research demonstrated that the dichotomies of orthodox/unorthodox and compliance/resistance do not adequately capture how medications are used and understood in everyday practice. Attitudes change according to why pharmaceuticals are taken and who is taking them, their impacts on social relationships, and different views on the social or natural production of disease, the power of the pharmaceutical industry, and the role of health experts. Pharmaceuticals are tied to our identity, what we want to show of ourselves, and what sort of world we see ourselves living in. The ordering and disordering understandings of pharmaceuticals intersect with forms of pharmaceuticalised governance, where conduct is governed through pharmaceutical routines, and where self-responsibility entails following the prescription of other agents. Pharmaceuticals symbolise forms of governance with different sets of roles and responsibilities.
Preferred citationDew, K., Norris, P., Gabe, J., Chamberlain, K. & Hodgetts, D. (2015). Moral discourses and pharmaceuticalised governance in households. Social Science and Medicine, 131, 272-279. https://doi.org/10.1016/j.socscimed.2014.03.006
Journal titleSocial Science and Medicine
Online publication date2014-03-16
New ZealandPharmaceuticalisationGovernmentalityMoral discoursesPopulation & SocietyGeneric Health RelevanceAdultAttitude to HealthChildDrug IndustryEthicsFamily CharacteristicsHumansMoralsPatient AdvocacyPatient ParticipationPatient SatisfactionPrescription Drug OverusePrescription DrugsSocial ResponsibilitySymbolismTreatment OutcomeScience & TechnologySocial SciencesLife Sciences & BiomedicinePublic, Environmental & Occupational HealthSocial Sciences, BiomedicalBiomedical Social SciencesMANAGEMENTMEDICATIONMEDICINEHEALTHWOMENPublic HealthMedical and Health SciencesStudies in Human SocietyEconomicsSociology