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Medicalisation, pharmaceuticalisation or both? Exploring the medical management of sleeplessness as insomnia
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Coveney, Catherine, Williams, Simon J. and Gabe, Jonathan (2019) Medicalisation, pharmaceuticalisation or both? Exploring the medical management of sleeplessness as insomnia. Sociology of Health and Illness, 41 (2). pp. 266-284. doi:10.1111/1467-9566.12820 ISSN 0141-9889.
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Official URL: https://doi.org/10.1111/1467-9566.12820
Abstract
In this paper we examine the medical management of sleeplessness as ‘insomnia’, through the eyes of general practitioners (GPs) and sleep experts in Britain. Three key themes were evident in the data. These related to (i) institutional issues around advocacy and training in sleep medicine (ii) conceptual issues in the diagnosis of insomnia (iii) and how these played out in terms of treatment issues. As a result, the bulk of medical management occurred at the primary rather than secondary care level. These issues are then reflected on in terms of the light they shed on relations between the medicalisation and the pharmaceuticalisation of sleeplessness as insomnia. Sleeplessness, we suggest, is only partially and problematically medicalised as insomnia to date at the conceptual, institutional and interactional levels owing to the foregoing factors. Much of this moreover, on closer inspection, is arguably better captured through recourse to pharmaceuticalisation, including countervailing moves and downward regulatory pressures which suggest a possible degree of depharmaceuticalisation in future, at least as far prescription hypnotics are concerned. Pharmaceuticalisation therefore, we conclude, has distinct analytical value in directing our attention, in this particular case, to important dynamics occurring within if not beyond the medicalisation of sleeplessness as insomnia.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RC Internal medicine | ||||||||
Divisions: | Faculty of Social Sciences > Sociology | ||||||||
Library of Congress Subject Headings (LCSH): | Insomnia -- Treatment, Hypnotics, Physicians (General practice) | ||||||||
Journal or Publication Title: | Sociology of Health and Illness | ||||||||
Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||||
ISSN: | 0141-9889 | ||||||||
Official Date: | February 2019 | ||||||||
Dates: |
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Volume: | 41 | ||||||||
Number: | 2 | ||||||||
Page Range: | pp. 266-284 | ||||||||
DOI: | 10.1111/1467-9566.12820 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Reuse Statement (publisher, data, author rights): | |||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 6 August 2018 | ||||||||
Date of first compliant Open Access: | 21 September 2018 | ||||||||
RIOXX Funder/Project Grant: |
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