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"Do You Understand What I Am Saying?": Exploring Language Practices in Describing Life With Diabetes.

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Adults with diabetes use specific language strategies to express and defend their identity. These linguistic techniques reveal insights into their self-perception and relationship with diabetes management.

Keywords:
Canadadiabetesdiabetes managementinsulin pumpslanguage analysislanguage practicesself-identity

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Area of Science:

  • Psychology
  • Linguistics
  • Health Communication

Background:

  • Identity is constructed and maintained through language.
  • Understanding patient identity is crucial for effective healthcare.
  • Diabetes self-management involves complex identity negotiation.

Purpose of the Study:

  • To explore language practices used by adults with diabetes on insulin pumps.
  • To analyze how these language strategies defend and express preferred identities.
  • To understand the link between language, identity, and diabetes management.

Main Methods:

  • Qualitative secondary analysis of 30 interviews with 15 adults using insulin pumps.
  • Inductive thematic analysis guided by Identity Process Theory.
  • Examination of linguistic strategies including personification, metaphor, simile, sarcasm, and storytelling.

Main Results:

  • Participants used various language strategies (e.g., metaphor, humour, distancing) to express and defend their identities related to diabetes.
  • Linguistic choices indicated trust, association with diabetes, and a sense of ownership.
  • Strategies like whispering and justification protected self-esteem when describing non-normative diabetes practices.

Conclusions:

  • Language is a key tool for adults with diabetes in managing their identity.
  • Clinicians can gain deeper insights into patient identity and threats by attending to language use.
  • This approach offers a nuanced understanding beyond direct questioning in diabetes care.