Taking the biscuit? A discursive approach to managing diet in type 2 diabetes

J Health Psychol. 2005 Nov;10(6):779-91. doi: 10.1177/1359105305057313.

Abstract

Adopting and maintaining a healthy diet is pivotal to diabetic regimens. Behavioural research has focused on strategies to modify/maintain healthy behaviours; thus 'compliance' and 'noncompliance' are operationalized by researchers. In contrast, discursive psychology focuses on the actions different accounts accomplish--in this case regarding diets. Using thematic discourse analysis, we examine dietary management talk in repeat-interviews with 40 newly diagnosed type 2 diabetes patients. Women in our study tended to construct dietary practices as an individual concern, while men presented food consumption as a family matter. Participants accounted for 'cheating' in complex ways that aim to accomplish, for instance, a compliant identity. Discursive psychology may facilitate fluidity in our understandings of dietary management, and challenge fixed notions of 'compliant' and 'non-compliant' diabetes patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Choice Behavior / physiology
  • Diabetes Mellitus, Type 2 / diet therapy*
  • Diabetes Mellitus, Type 2 / psychology
  • Diet Surveys
  • Diet, Diabetic / psychology*
  • Family / psychology
  • Female
  • Food Preferences / psychology
  • Health Behavior
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Interviews as Topic / methods
  • Male
  • Middle Aged
  • Patient Compliance / psychology*
  • Sex Factors