IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v177y2017icp43-51.html
   My bibliography  Save this article

Identity in a medicine cabinet: Discursive positions of Andean migrants towards their use of herbal remedies in the United Kingdom

Author

Listed:
  • Ceuterick, Melissa
  • Vandebroek, Ina

Abstract

This study explores different rationales for using herbal remedies among people from Andean descent in the United Kingdom, using positioning theory as a conceptual framework. By analysing processes of positioning in narratives about healthcare choices conducted with 40 Bolivian and Peruvian migrants in London (between 2005 and 2009), we examine in which ways talking about personal preferences for herbal medicine can be constitutive of one's health identity. The results reveal three distinct discursive repertoires that frame the use of herbal remedies either as a tradition, a health-conscious consumer choice, or as a coping strategy, each allowing specific health identity outcomes. An enhanced understanding of how people make sense of their use of traditional, plant-based medicines enables healthcare professionals to better assist patients in making meaningful decisions about their health. Through illustrating how treatment choices are discursively linked with identity, the present results debunk the tendency to perceive patients with a migration background as one homogenous group and thus urge for a patient centred approach.

Suggested Citation

  • Ceuterick, Melissa & Vandebroek, Ina, 2017. "Identity in a medicine cabinet: Discursive positions of Andean migrants towards their use of herbal remedies in the United Kingdom," Social Science & Medicine, Elsevier, vol. 177(C), pages 43-51.
  • Handle: RePEc:eee:socmed:v:177:y:2017:i:c:p:43-51
    DOI: 10.1016/j.socscimed.2017.01.026
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953617300333
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2017.01.026?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Aakster, C. W., 1986. "Concepts in alternative medicine," Social Science & Medicine, Elsevier, vol. 22(2), pages 265-273, January.
    2. Stevenson, Fiona A. & Britten, Nicky & Barry, Christine A. & Bradley, Colin P. & Barber, Nick, 2003. "Self-treatment and its discussion in medical consultations: how is medical pluralism managed in practice?," Social Science & Medicine, Elsevier, vol. 57(3), pages 513-527, August.
    3. Bernard Gazier & Jean - Philippe Touffut, 2006. "Introduction. Public goods, social enactions," Post-Print halshs-00270254, HAL.
    4. Greenway, Christine, 1998. "Hungry earth and vengeful stars: soul loss and identity in the Peruvian Andes," Social Science & Medicine, Elsevier, vol. 47(8), pages 993-1004, October.
    5. Lumme-Sandt, Kirsi & Hervonen, Antti & Jylhä, Marja, 2000. "Interpretative repertoires of medication among the oldest-old," Social Science & Medicine, Elsevier, vol. 50(12), pages 1843-1850, June.
    6. Fox, Nick & Ward, Katie J., 2008. "You are what you eat? Vegetarianism, health and identity," Social Science & Medicine, Elsevier, vol. 66(12), pages 2585-2595, June.
    7. Teal, Cayla R. & Street, Richard L., 2009. "Critical elements of culturally competent communication in the medical encounter: A review and model," Social Science & Medicine, Elsevier, vol. 68(3), pages 533-543, February.
    8. Wayland, Coral, 2004. "The failure of pharmaceuticals and the power of plants: medicinal discourse as a critique of modernity in the Amazon," Social Science & Medicine, Elsevier, vol. 58(12), pages 2409-2419, June.
    9. Tovey, Philip, 1997. "Contingent legitimacy: U.K. alternative practitioners and inter-sectoral acceptance," Social Science & Medicine, Elsevier, vol. 45(7), pages 1129-1133, October.
    10. Pound, Pandora & Britten, Nicky & Morgan, Myfanwy & Yardley, Lucy & Pope, Catherine & Daker-White, Gavin & Campbell, Rona, 2005. "Resisting medicines: a synthesis of qualitative studies of medicine taking," Social Science & Medicine, Elsevier, vol. 61(1), pages 133-155, July.
    11. Young, James C. & Garro, Linda Young, 1982. "Variation in the choice of treatment in two Mexican communities," Social Science & Medicine, Elsevier, vol. 16(16), pages 1453-1465, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Laura Dryjanska & Cheryl Zlotnick, 2019. "Wannabe Israeli: immigrants wrestling with their identity," Quality & Quantity: International Journal of Methodology, Springer, vol. 53(5), pages 2557-2574, September.
    2. Piret Paal & Johannes Bükki, 2017. "“If I had stayed back home, I would not be alive any more…” – Exploring end-of-life preferences in patients with migration background," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-12, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nakata, Cheryl & Sharp, Lisa K. & Spanjol, Jelena & Cui, Anna Shaojie & Izberk-Bilgin, Elif & Crawford, Stephanie Y. & Xiao, Yazhen, 2021. "Narrative arcs and shaping influences in long-term medication adherence," Social Science & Medicine, Elsevier, vol. 285(C).
    2. Ramdas, Sahienshadebie, 2012. "Cruel disease, cruel medicine: Self-treatment of cutaneous leishmaniasis with harmful chemical substances in Suriname," Social Science & Medicine, Elsevier, vol. 75(6), pages 1097-1105.
    3. Allison Williams & Jac Kee Low & Elizabeth Manias & Kimberley Crawford, 2016. "The transplant team's support of kidney transplant recipients to take their prescribed medications: a collective responsibility," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(15-16), pages 2251-2261, August.
    4. Rebecca J Bartlett Ellis & Janet L Welch, 2017. "Medication‐taking behaviours in chronic kidney disease with multiple chronic conditions: a meta‐ethnographic synthesis of qualitative studies," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(5-6), pages 586-598, March.
    5. Dew, Kevin & Norris, Pauline & Gabe, Jonathan & Chamberlain, Kerry & Hodgetts, Darrin, 2015. "Moral discourses and pharmaceuticalised governance in households," Social Science & Medicine, Elsevier, vol. 131(C), pages 272-279.
    6. Einhorn, Laura, 2020. "Normative social influence on meat consumption," MPIfG Discussion Paper 20/1, Max Planck Institute for the Study of Societies.
    7. Sylvie Paré & Ralph Christian Maloumby-Baka, 2015. "The Role of Public-Third Sector Relationships in Solving Social Issues: the Case of One-Stop-Shop Service for the Promotion of Female Immigrant Entrepreneurship in Montreal," Entrepreneurial Business and Economics Review, Centre for Strategic and International Entrepreneurship at the Cracow University of Economics., vol. 3(3), pages 123-141.
    8. Ridge, Damien & Kokanovic, Renata & Broom, Alex & Kirkpatrick, Susan & Anderson, Claire & Tanner, Claire, 2015. "“My dirty little habit”: Patient constructions of antidepressant use and the ‘crisis’ of legitimacy," Social Science & Medicine, Elsevier, vol. 146(C), pages 53-61.
    9. Gibson, Grant, 2016. "‘Signposts on the journey’; medication adherence and the lived body in men with Parkinson's disease," Social Science & Medicine, Elsevier, vol. 152(C), pages 27-34.
    10. Berry, Brandon & Apesoa-Varano, Ester Carolina, 2017. "Medication takeovers: Covert druggings and behavioral control in Alzheimer's," Social Science & Medicine, Elsevier, vol. 188(C), pages 51-59.
    11. Klein, Linda A. & Ritchie, Jan E. & Nathan, Sally & Wutzke, Sonia, 2014. "An explanatory model of peer education within a complex medicines information exchange setting," Social Science & Medicine, Elsevier, vol. 111(C), pages 101-109.
    12. Allison Christopher & John P. Bartkowski & Timothy Haverda, 2018. "Portraits of Veganism: A Comparative Discourse Analysis of a Second-Order Subculture," Societies, MDPI, vol. 8(3), pages 1-21, July.
    13. Raudenbush, Danielle T., 2021. "“We go to Tijuana to double check everything”: The contemporaneous use of health services in the U.S. and Mexico by Mexican immigrants in a border region," Social Science & Medicine, Elsevier, vol. 270(C).
    14. Kühlbrandt, Charlotte & Balabanova, Dina & Chikovani, Ivdity & Petrosyan, Varduhi & Kizilova, Kseniya & Ivaniuto, Oksana & Danii, Olga & Makarova, Noune & McKee, Martin, 2014. "In search of patient-centred care in middle income countries: The experience of diabetes care in the former Soviet Union," Health Policy, Elsevier, vol. 118(2), pages 193-200.
    15. Goldsmith, Laurie J. & Kolhatkar, Ashra & Popowich, Dominic & Holbrook, Anne M. & Morgan, Steven G. & Law, Michael R., 2017. "Understanding the patient experience of cost-related non-adherence to prescription medications through typology development and application," Social Science & Medicine, Elsevier, vol. 194(C), pages 51-59.
    16. Williams, Brian & Steven, Karen & Sullivan, Frank M., 2011. "Tacit and transitionary: An exploration of patients' and primary care health professionals' goals in relation to asthma," Social Science & Medicine, Elsevier, vol. 72(8), pages 1359-1366, April.
    17. Andrews, Gavin J. & Duff, Cameron, 2019. "Matter beginning to matter: On posthumanist understandings of the vital emergence of health," Social Science & Medicine, Elsevier, vol. 226(C), pages 123-134.
    18. Scott, Sydney E. & Landy, Justin F., 2023. "“Good people don’t need medication”: How moral character beliefs affect medical decision making," Organizational Behavior and Human Decision Processes, Elsevier, vol. 175(C).
    19. Sirieix, Lucie & Séré de Lanauze, Gilles & Dyen, Margot & Balbo, Laurie & Suarez, Erick, 2023. "The role of communities in vegetarian and vegan identity construction," Journal of Retailing and Consumer Services, Elsevier, vol. 75(C).
    20. Greenhalgh, Trisha & Robb, Nadia & Scambler, Graham, 2006. "Communicative and strategic action in interpreted consultations in primary health care: A Habermasian perspective," Social Science & Medicine, Elsevier, vol. 63(5), pages 1170-1187, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:177:y:2017:i:c:p:43-51. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.