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Bio-Psycho-Social Reasoning in GPs’ Case Narratives: The Discursive Construction of ME Patients’ Identities

Horton-Salway, Mary (2002). Bio-Psycho-Social Reasoning in GPs’ Case Narratives: The Discursive Construction of ME Patients’ Identities. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 6(4) pp. 401–421.

DOI (Digital Object Identifier) Link: http://dx.doi.org/10.1177/136345930200600401
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Abstract

This article takes a discursive psychology approach to the analysis of medical case narratives. An analysis of interview extracts on the topic of ME (CFS)shows how GPs use bio-psycho-social reasoning to construct the patient's identity and to define their illness as mental or physical. Patients' identities are 'talked up' using bio-psycho-social 'evidence'; they are constructed in the process of explaining the origins of an illness as mental or physical. This has much in common with identity construction in the illness narratives of ME patients. The analysis also shows how identity construction can function as a justification for defining an illness as psychosomatic and effectively 'shifting the blame' for what might otherwise be treated as medical failure or uncertainty. These processes show how a discursive analysis can shed more light on how bio-psycho-social reasoning functions in doctors' case constructions.

Item Type: Journal Article
ISSN: 1363-4593
Keywords: GPs; patients' identities; medical case construction; ME(CFS)
Academic Unit/Department: Social Sciences > Psychology in the Social Sciences
Interdisciplinary Research Centre: Centre for Citizenship, Identities and Governance (CCIG)
Item ID: 7260
Depositing User: Mary Horton-Salway
Date Deposited: 29 Mar 2007
Last Modified: 02 Dec 2010 19:58
URI: http://oro.open.ac.uk/id/eprint/7260
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