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Conversational pursuit of medication compliance in a Therapeutic Community for persons diagnosed with mental disorders

Mortari, Luigina; Pino, Marco

Authors

Luigina Mortari

Marco Pino marco.pino75@gmail.com



Abstract

Purpose: In this article, we contribute to the debate on medication compliance by exploring the conversational "technologies" entailed in the process of promoting clients’ adherence to psychopharmacological prescriptions. Using a case study approach, we explore how medication-related problems are dealt with in conversational interaction between the staff members and the clients of a mental health Therapeutic Community (TC) in Italy. Method: Four meetings between two staff members (Barbara and Massimo) and the clients of the TC were audiorecorded. The data were transcribed and analyzed using the method of Conversation Analysis.

Results: Barbara and Massimo recur to practices of topic articulation to promote talk that references the clients’ failure to take the medications. Through these practices they deal with the practical problem of mobilizing the clients’ cooperation in courses of action that fit into the institutional agenda of fostering medication adherence.

Conclusions: Barbara and Massimo’s conversational practices appear to reflect the assumption that medication-related problems can be reduced to compliance problems. This assumption works to make the clients accountable for their failure to take the medications while shaping a conversational environment that is unreceptive to their complaints about side effects. Implications for the understanding of mental health rehabilitation practice in TCs are discussed.

Journal Article Type Article
Publication Date Jan 1, 2014
Journal Disability & Rehabilitation
Electronic ISSN 0963-8288
Publisher Taylor & Francis
Peer Reviewed Not Peer Reviewed
Volume 36
Issue 17
APA6 Citation Mortari, L., & Pino, M. (2014). Conversational pursuit of medication compliance in a Therapeutic Community for persons diagnosed with mental disorders. Disability and Rehabilitation, 36(17), doi:10.3109/09638288.2013.834987
DOI https://doi.org/10.3109/09638288.2013.834987
Keywords Communication, compliance, medication, mental health and illness, Therapeutic Community, Conversation Analysis
Publisher URL http://informahealthcare.com/doi/abs/10.3109/09638288.2013.834987
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0
Additional Information © Informa Healthcare

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





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