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Self-compliance at 'Prozac campus'.

Kelly A McKinney1, Brian G Greenfield

  • 1Department of Humanities, Philosophy and Religion, John Abbott College, Ste. Anne-de-Bellevue, Quebec, H9X 3L9 Canada. kelly.mckinney@johnabbott.qc.ca

Anthropology & Medicine
|August 20, 2010
PubMed
Summary

University students actively manage their psychiatric medication, influencing dosages and usage. They blend expert and personal knowledge, creating a unique landscape of medication compliance beyond traditional medical models.

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Area of Science:

  • Psychiatry
  • Medical Anthropology
  • Sociology

Background:

  • Traditional models of psychiatric medication compliance often emphasize physician control.
  • Emerging trends show patients taking a more active role in managing their mental health treatments.

Purpose of the Study:

  • To explore the evolving landscape of psychiatric medication compliance among North American university students.
  • To investigate how students exercise personal decision-making power regarding their medication.
  • To understand the role of blended expert and experiential knowledge in medication management.

Main Methods:

  • Qualitative analysis of psychiatric medication experiences.
  • Exploration of patient decision-making regarding dosages and discontinuation.
  • Examination of knowledge sharing among students, peers, family, and physicians.

Main Results:

  • Students actively regulate moods and medication use, assuming significant personal decision-making power.
  • A new cultural landscape of medication compliance is emerging, shaped by students' active engagement.
  • Psychiatric medications play a crucial role in students' meaning-making and interpretation of their experiences.

Conclusions:

  • Existing academic discourses on patient empowerment and governmentality may not fully capture the complexities of student medication management.
  • Unconscious and symbolic motivations significantly influence psychiatric medication experiences.
  • Further research is needed to understand these nuanced aspects of patient agency in psychiatric care.