"I'm running my depression:" Self-management of depression in neoliberal Australia

The current study examines how the neoliberal imperative to self-manage has been taken up by patients, focusing specifically on Indian-Australians and Anglo-Australians living with depression in Australia. We use Nikolas Rose's work on governmentality and neoliberalism to theorise our study and...

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Main Authors: Brijnath, Bianca, Antoniades, J.
Format: Journal Article
Published: Pergamon Press 2016
Online Access:http://hdl.handle.net/20.500.11937/18087
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author Brijnath, Bianca
Antoniades, J.
author_facet Brijnath, Bianca
Antoniades, J.
author_sort Brijnath, Bianca
building Curtin Institutional Repository
collection Online Access
description The current study examines how the neoliberal imperative to self-manage has been taken up by patients, focusing specifically on Indian-Australians and Anglo-Australians living with depression in Australia. We use Nikolas Rose's work on governmentality and neoliberalism to theorise our study and begin by explicating the links between self-management, neoliberalism and the Australian mental health system. Using qualitative methods, comprising 58 in-depth interviews, conducted between May 2012 and May 2013, we argue that participants practices of self-management included reduced use of healthcare services, self-medication and self-labour. Such practices occurred over time, informed by unsatisfactory interactions with the health system, participants confidence in their own agency, and capacity to craft therapeutic strategies. We argue that as patients absorbed and enacted neoliberal norms, a disconnect was created between the policy rhetoric of self-management, its operationalisation in the health system and patient understandings and practices of self-management. Such a disconnect, in turn, fosters conditions for risky health practices and poor health outcomes.
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spelling curtin-20.500.11937-180872017-09-13T13:36:43Z "I'm running my depression:" Self-management of depression in neoliberal Australia Brijnath, Bianca Antoniades, J. The current study examines how the neoliberal imperative to self-manage has been taken up by patients, focusing specifically on Indian-Australians and Anglo-Australians living with depression in Australia. We use Nikolas Rose's work on governmentality and neoliberalism to theorise our study and begin by explicating the links between self-management, neoliberalism and the Australian mental health system. Using qualitative methods, comprising 58 in-depth interviews, conducted between May 2012 and May 2013, we argue that participants practices of self-management included reduced use of healthcare services, self-medication and self-labour. Such practices occurred over time, informed by unsatisfactory interactions with the health system, participants confidence in their own agency, and capacity to craft therapeutic strategies. We argue that as patients absorbed and enacted neoliberal norms, a disconnect was created between the policy rhetoric of self-management, its operationalisation in the health system and patient understandings and practices of self-management. Such a disconnect, in turn, fosters conditions for risky health practices and poor health outcomes. 2016 Journal Article http://hdl.handle.net/20.500.11937/18087 10.1016/j.socscimed.2016.01.022 Pergamon Press fulltext
spellingShingle Brijnath, Bianca
Antoniades, J.
"I'm running my depression:" Self-management of depression in neoliberal Australia
title "I'm running my depression:" Self-management of depression in neoliberal Australia
title_full "I'm running my depression:" Self-management of depression in neoliberal Australia
title_fullStr "I'm running my depression:" Self-management of depression in neoliberal Australia
title_full_unstemmed "I'm running my depression:" Self-management of depression in neoliberal Australia
title_short "I'm running my depression:" Self-management of depression in neoliberal Australia
title_sort "i'm running my depression:" self-management of depression in neoliberal australia
url http://hdl.handle.net/20.500.11937/18087