Carregant...
Fitxers
Tipus de document
ArticleVersió
Versió acceptadaData de publicació
Llicència de publicació
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/207205
The collaborative management of antipsychotic medication and its obstacles: A qualitative study
Títol de la revista
Director/Tutor
ISSN de la revista
Títol del volum
Recurs relacionat
Resum
Antipsychotic medication is the primary treatment for psychotic conditions such as schizophrenia and schizoaffective disorders; nevertheless, its administration is not free from conflicts. Despite taking their medication regularly, 25-50% of patients report no benefits or perceive this type of treatment as an imposition. Following in the footsteps of a previous initiative in Quebec (Canada), the Gestion Autonome de la Médication en Santé Mentale (GAM), this article ethnographically analyses the main obstacles to the collaborative management of antipsychotics in Catalonia (Spain) as a previous step for the implementation of this initiative in the Catalan mental healthcare network. We conducted in-depth interviews with patients (38), family caregivers (18) and mental health professionals (19), as well as ten focus groups, in two public mental health services, and patients' and caregivers' associations. Data were collected between February and December 2018. We detected three main obstacles to collaboration among participants. First, different understanding of the patient's distress, either as deriving from the symptoms of the disorder (professionals) or the adverse effects of the medication (patients). Second, differences in the definition of (un)awareness of the disorder. Whereas professionals associated disorder awareness with treatment compliance, caregivers understood it as synonymous with self-care, and among patients 'awareness of suffering' emerged as a comprehensive category of a set of discomforts (i.e., symptoms, adverse effects of medication, previous admissions, stigma). Third, discordant expectations regarding clinical communication that can be condensed in the differences in meaning between the Spanish words 'trato' and 'tratamiento', where the first denotes having a pleasant manner and agreement, and the second handling and management. We conclude that these three obstacles pave the way for coercive practices and promote patients' de-subjectivation, named here as the 'total patient' effect. This study is the first GAM initiative in Europe.
Matèries (anglès)
Citació
Col·leccions
Citació
MARTÍNEZ HERNÁEZ, Ángel, PIÉ BALAGUER, Assumpció, SERRANO-MIGUEL, Mercedes, MORALES SÁEZ, Nicolás, GARCÍA-SANTESMASES, Andrea, BEKELE, Deborah, ALEGRE-AGÍS, Elisa. The collaborative management of antipsychotic medication and its obstacles: A qualitative study. _Social Science & Medicine_. 2020. Vol. 247, núm. 112811. [consulta: 27 de gener de 2026]. ISSN: 0277-9536. [Disponible a: https://hdl.handle.net/2445/207205]