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

    240162_240162.pdf (262.1Kb)
    Access Status
    Open access
    Authors
    Brijnath, Bianca
    Antoniades, J.
    Date
    2016
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Brijnath, B. and Antoniades, J. 2016. "I'm running my depression:" Self-management of depression in neoliberal Australia. Social Science and Medicine. 152: pp. 1-8.
    Source Title
    Social Science and Medicine
    DOI
    10.1016/j.socscimed.2016.01.022
    ISSN
    0277-9536
    School
    School of Occupational Therapy and Social Work
    Remarks

    This open access article is distributed under the Creative Commons license http://creativecommons.org/licenses/by-nc-nd/4.0/

    URI
    http://hdl.handle.net/20.500.11937/18087
    Collection
    • Curtin Research Publications
    Abstract

    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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