Gabe Jonathan, Coveney Catherine M, Williams Simon J
Centre for Criminology & Sociology, Royal Holloway, University of London.
Centre for Global Health Policy, University of Sussex.
Sociol Health Illn. 2016 May;38(4):627-44. doi: 10.1111/1467-9566.12383. Epub 2015 Nov 20.
The pharmaceuticalisation of sleep is a contentious issue. Sleep medicines get a 'bad press' due to their potential for dependence and other side effects, including studies reporting increased mortality risks for long-term users. Yet relatively little qualitative social science research has been conducted into how people understand and negotiate their use/non-use of sleep medicines in the context of their everyday lives. This paper draws on focus group data collected in the UK to elicit collective views on and experiences of prescription hypnotics across different social contexts. Respondents, we show, drew on a range of moral repertoires which allowed them to present themselves and their relationships with hypnotics in different ways. Six distinct repertoires about hypnotic use are identified in this regard: the 'deserving' patient, the 'responsible' user, the 'compliant' patient, the 'addict', the 'sinful' user and the 'noble' non user. These users and non-users are constructed drawing on cross-cutting themes of addiction and control, ambivalence and reflexivity. Such issues are in turn discussed in relation to recent sociological debates on the pharmaceuticalisation/de-pharmaceuticalisation of everyday life and the consumption of medicines in the UK today.
睡眠药物化是一个有争议的问题。睡眠药物因具有成瘾潜力和其他副作用而受到“负面报道”，包括一些研究报告称长期使用者的死亡风险增加。然而，相对较少有定性的社会科学研究探讨人们在日常生活中如何理解和权衡使用/不使用睡眠药物。本文利用在英国收集的焦点小组数据，以引出不同社会背景下对处方催眠药的集体看法和体验。我们发现，受访者运用了一系列道德准则，使他们能够以不同方式展现自己以及他们与催眠药的关系。在这方面，确定了六种关于催眠药使用的不同准则：“应得”的患者、“负责”的使用者、“顺从”的患者、“成瘾者”、“有罪”的使用者和“高尚”的不使用者。这些使用者和不使用者是根据成瘾与控制、矛盾心理与反思性等交叉主题构建的。这些问题进而结合近期关于英国当今日常生活药物化/去药物化以及药品消费的社会学辩论进行讨论。
