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Taking anti-depressant medications: Resistance, trial commitment, conversion, disenchantment

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Abstract

This paper documents the meanings attached to taking anti-depressant medications. Indepth interview materials from a sample of persons diagnosed and treated for depression suggest that taking doctor-prescribed drugs involves an extensive interpretive process about the meanings of having an emotional “illness.” The data and analysis extend previous studies on the meanings of taking psychotropic drugs by showing how those meanings change over the course of the depression “career.” An individual's changing responses to psychiatric medications can be described as a socialization process having radical implications for self definition. The four stages constituting this socialization process and central to the analysis in the paper are: resistance, trial commitment, conversion, and disenchantment. Each of these stages is discussed in terms of its impact on personal identity. The implications of the presented data for challenges to the medical model are discussed.

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References

  • Anspach, R. (1979). “From stigma to identity politics: Political activism among the physically disabled and former mental patients.”Social Science and Medicine 13A: 765–774

    Google Scholar 

  • Becker, H. (1960). “Notes on the concept of commitment.”American Journal of Sociology 66: 32–40.

    Google Scholar 

  • Becker, H. (1963).Outsiders: Studies in the Sociology of Deviance. New York: The Free Press of Glencoe.

    Google Scholar 

  • Berger, P., and Luckmann, T. (1967).The Social Construction of Reality. Garden City, New York: Doubleday.

    Google Scholar 

  • Blumer, H. (1969).Symbolic Interaction: Perspective and Method. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Breggin, P. (1991).Toxic Psychiatry. New York: St. Martin's Press.

    Google Scholar 

  • Conrad, P. (1985). “The meaning of medications: Another look at compliance.”Social Science and Medicine 20: 29–37.

    Google Scholar 

  • Conrad, P., and Schneider, J. (1980).Deviance and Medicalization. St. Louis: Mosby.

    Google Scholar 

  • Cooperstock, R., and Lennard, H. (1979). “Some social meanings of tranquilizer use.”Sociology of Health and Illness 1 (3): 331–347.

    Google Scholar 

  • Cooperstock, R., and Parnell, P. (1982). “Research on psychotropic drug use: A review of findings and methods.”Social Science and Medicine 16: 1179–1196.

    Google Scholar 

  • Derber C., Schwartz, W., and Magrass, Y. (1990).Power in the Highest Degree: Professionals and the Rise of the New Mandarin Class. New York: Oxford University Press.

    Google Scholar 

  • Estroff, S. (1981).Making It Crazy. Berkeley, Cal.: University of California Press.

    Google Scholar 

  • Freidson, E. (1970).Profession of Medicine. New York: Harper and Row.

    Google Scholar 

  • Gabe, J., and Bury, M. (1988). “Tranquillizers as a social problem.”Sociological Review 36(2):320–352.

    Google Scholar 

  • Gabe, J., and Thorogood, N. (1986). “Prescribed drug use and the management of everyday life: The experiences of black and white working-class women.”Sociological Review 34 (4): 737–772.

    Google Scholar 

  • Gabe, J., and Williams, P. eds. (1986).Tranquillizers: Social, Psychological and Clinical Perspectives. London: Tavistock.

    Google Scholar 

  • Glaser, B., and Strauss, A. (1967).The Discovery of Grounded Theory. Chicago: Aldine.

    Google Scholar 

  • Goffman, E. (1961).Asylums: Essays on the Social Situations of Mental Patients. Garden City, New York: Doubleday Anchor.

    Google Scholar 

  • Greil, A., and Rudy, D. (1984). “Social cocoons: Encapsulation and identity transforming organizations.”Sociological Inquiry 54: 260–278.

    Google Scholar 

  • Gross, M. (1978).The Psychological Society. New York: Random House.

    Google Scholar 

  • Helman, C. (1981). “Tonic, fuel and food: Social and symbolic aspects of the long term use of psychotropic drugs.”Social Science and Medicine 15B (4): 521–533.

    Google Scholar 

  • Heirich, M. (1977). “Change of heart: A test of some widely held theories of religious conversion.”American Journal of Sociology 85: 653–680.

    Google Scholar 

  • Hewitt, J. (1991).Self and Society. Boston: Allyn and Bacon.

    Google Scholar 

  • Holstein, J., and Miller, G. (1990). “Rethinking victimization: An interactional approach to victimology.”Symbolic Interaction 13: 103–122.

    Google Scholar 

  • Karp, D. (1992). “Illness ambiguity and the search for meaning.”Journal of Contemporary-Ethnography 21: 139–170.

    Google Scholar 

  • Karp, D. (forthcoming). “Living with depression: Illness and identity turning points.”Journal of Qualitative Health Research.

  • Karp, D., and Yoels, W. (1993).Sociology in Everyday Life. Itasca, Illinois: Peacock Publishing Co.

    Google Scholar 

  • Lasch, C. (1980). “Life in the therapeutic state.”New York Review of Books 12 (June): 24–31.

    Google Scholar 

  • Laing, R. D. (1967).The Politics of Experience. New York: Ballantine Books.

    Google Scholar 

  • Lemert, E. (1951).Social Pathology. New York: McGraw-Hill.

    Google Scholar 

  • Lindesmith, A. (1947).Opiate Addiction. Bloomington, Indiana: Indiana University Press.

    Google Scholar 

  • Lofland, J., and Skonvd, L. (1983). “Patterns of conversion.” In E. Barker, ed.Of Gods and Men: New Religious Movements in the West. Macon, Ga.: Mercer University Press.

    Google Scholar 

  • Lyman, S., and Scott, M. (1968). “Accounts.”American Sociological Review 33 (December): 46–62.

    Google Scholar 

  • Mills, C. W. (1972). “Situated actions and vocabularies of motive.” InSymbolic Interaction. ed. J. Manis and B. Meltzer. Boston: Allyn & Bacon.

    Google Scholar 

  • Petursson, H., and Lader, M. (1986). “Benzodiazepine dependence.” InTranquillizers, ed. J. Gabe and P. Williams. London: Tavistock.

    Google Scholar 

  • Powell, T. (1987).Self help Organizations and Professional Practice. Silver Spring, Md.: National Association of Social Workers.

    Google Scholar 

  • Powell, T., ed. (1990).Working With Self Help. Silver Spring, Md.: National Association of Social Workers.

    Google Scholar 

  • Reynolds, L. (1990).Interactionism: Exposition and Critique. Dix Hills, New York: General Hall.

    Google Scholar 

  • Robbins, T. (1988).Cults, Converts and Charisma. Newbury Park, Cal.: Sage Publications Inc.

    Google Scholar 

  • Scheff, T. (1966).Being Mentally Ill. Chicago: Aldine.

    Google Scholar 

  • Snow. D., and Machalek, R. (1984). “The sociology of conversion.”Annual Review of Sociology 10: 167–190.

    Google Scholar 

  • Strauss, A. (1992). “Turning points in identity.” InSocial Interaction, ed. C. Clark and H. Robboy, 149–55. New York: St. Martin's.

    Google Scholar 

  • Szasz, T. (1970).Ideology and Insanity. Garden City, New York: Anchor Books.

    Google Scholar 

  • Weber, M. (1947).The Theory of Social and Economic Organization., trans. A. M. Henderson and T. Parsons. New York: Oxford University Press.

    Google Scholar 

Download references

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Karp, D.A. Taking anti-depressant medications: Resistance, trial commitment, conversion, disenchantment. Qual Sociol 16, 337–359 (1993). https://doi.org/10.1007/BF00989969

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