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Prescriptions and proscriptions: moralising sleep medicines.

Jonathan Gabe1, Catherine M Coveney2, Simon J Williams3

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People navigate sleep medicine use through various moral frameworks, balancing perceived benefits against risks like dependence and mortality. Understanding these diverse perspectives is key to addressing the pharmaceuticalization of sleep.

Keywords:
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Area of Science:

  • Sociology of Health and Medicine
  • Pharmaceutical Studies
  • Qualitative Social Science Research

Background:

  • The pharmaceuticalization of sleep is debated due to sleep medicine risks (dependence, mortality).
  • Limited qualitative research exists on individual experiences with sleep medication use and non-use.
  • Understanding public perceptions is crucial for navigating medicine consumption in the UK.

Purpose of the Study:

  • To explore collective views and experiences of prescription hypnotic use in the UK.
  • To identify how individuals understand and negotiate their relationship with sleep medicines.
  • To analyze the social and moral dimensions of sleep medication consumption.

Main Methods:

  • Qualitative research utilizing focus group data from the UK.
  • Analysis of collective views on prescription hypnotics across social contexts.
  • Identification of moral repertoires used to frame hypnotic use.

Main Results:

  • Six distinct moral repertoires for hypnotic use were identified: 'deserving' patient, 'responsible' user, 'compliant' patient, 'addict', 'sinful' user, and 'noble' non-user.
  • These repertoires draw on themes of addiction, control, ambivalence, and reflexivity.
  • Individual presentations of self and relationships with hypnotics vary significantly.

Conclusions:

  • Sociological debates on pharmaceuticalization/de-pharmaceuticalization are informed by these user experiences.
  • Moral frameworks shape how individuals perceive and manage sleep medicine use.
  • Further research is needed to understand the complexities of medicine consumption in everyday life.