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Self-treatment and its discussion in medical consultations: how is medical pluralism managed in practice?
Abstract
Recent policy changes in the UK such as deregulation of prescribed medicines and the introduction of telephone helpline services are intended to promote self-treatment. Drawing on interviews with, and consultations between, 35 patients and 20 general practitioners, we use Kleinman's (Patients and Healers in the context of culture: an exploration of the Borderland between Anthropology, Medicine and Psychiatry, University of California Press Ltd., London) model of the three sectors of health care in order to examine the range of self-treatments people use and the discussion of these treatments in medical consultations. We argue that despite the availability of a range of treatment options and policy changes advocating greater use of self-treatment, patients are inhibited from disclosing prior self-treatment, and disclosure is affected by patients' perceptions of the legitimacy of self-treatment. The findings are in keeping with Cant and Sharma's (A New Medical Pluralism, Alternative Medicines, Doctors, Patients and the State, UCL Press, London) contention that although there has been a pluralisation of "legitimate" providers of health care and a restructuring of expertise, biomedicine itself remains dominant.
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“Self-help was considered a separate category due to problematic formal/informal categorisation in relation to bereavement support.30”
From Support received after bereavement by suicide and other sudden deaths: A cross-sectional UK study of 3432 young bereaved adults (2017) · cites this paper as [30]
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Metadata
- Authors
- Stevenson, F. A., Britten, N., Barry, C. A., Bradley, C. P., & Barber, N.
- Affiliations
- King's College London (GB)
- Brunel University of London (GB)
- University College Cork (IE)
- University of London (GB)
- Corresponding author
- Stevenson, Fiona A.
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2003-08
- Volume
- 57
- Issue
- 3
- Pages
- 513-527
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W1980004891
- Cited by
- 134
- References
- 65
- Citations by year
- 2026: 4 · 2024: 5 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 3 · 2019: 6 · 2018: 4 · 2017: 10 · 2016: 3 · 2015: 2 · 2014: 5 · 2013: 5 · 2012: 12
- FWCI
- 27.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Social Sciences › Sociology and Political Science › Migration, Identity, and Health
- Keywords
- self-medication, medical pluralism, medical consultation, general practitioners, complementary and alternative medicine, patient-physician communication
- MeSH terms
- Complementary Therapies, Attitude of Health Personnel, Culture, Nonprescription Drugs, England, Family Practice, Humans, Patient Acceptance of Health Care, Physician-Patient Relations, Referral and Consultation, Self Care, Self Disclosure, Self Medication, Sociology, Medical, State Medicine, Health Care Sector
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