Qualitative Sociology

, Volume 16, Issue 4, pp 337–359 | Cite as

Taking anti-depressant medications: Resistance, trial commitment, conversion, disenchantment

  • David A. Karp


This paper documents the meanings attached to taking anti-depressant medications. Indepth interview materials from a sample of persons diagnosed and treated for depression suggest that taking doctor-prescribed drugs involves an extensive interpretive process about the meanings of having an emotional “illness.” The data and analysis extend previous studies on the meanings of taking psychotropic drugs by showing how those meanings change over the course of the depression “career.” An individual's changing responses to psychiatric medications can be described as a socialization process having radical implications for self definition. The four stages constituting this socialization process and central to the analysis in the paper are: resistance, trial commitment, conversion, and disenchantment. Each of these stages is discussed in terms of its impact on personal identity. The implications of the presented data for challenges to the medical model are discussed.


Social Psychology Social Issue Socialization Process Psychotropic Drug Personal Identity 
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  1. Anspach, R. (1979). “From stigma to identity politics: Political activism among the physically disabled and former mental patients.”Social Science and Medicine 13A: 765–774Google Scholar
  2. Becker, H. (1960). “Notes on the concept of commitment.”American Journal of Sociology 66: 32–40.Google Scholar
  3. Becker, H. (1963).Outsiders: Studies in the Sociology of Deviance. New York: The Free Press of Glencoe.Google Scholar
  4. Berger, P., and Luckmann, T. (1967).The Social Construction of Reality. Garden City, New York: Doubleday.Google Scholar
  5. Blumer, H. (1969).Symbolic Interaction: Perspective and Method. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
  6. Breggin, P. (1991).Toxic Psychiatry. New York: St. Martin's Press.Google Scholar
  7. Conrad, P. (1985). “The meaning of medications: Another look at compliance.”Social Science and Medicine 20: 29–37.Google Scholar
  8. Conrad, P., and Schneider, J. (1980).Deviance and Medicalization. St. Louis: Mosby.Google Scholar
  9. Cooperstock, R., and Lennard, H. (1979). “Some social meanings of tranquilizer use.”Sociology of Health and Illness 1 (3): 331–347.Google Scholar
  10. Cooperstock, R., and Parnell, P. (1982). “Research on psychotropic drug use: A review of findings and methods.”Social Science and Medicine 16: 1179–1196.Google Scholar
  11. Derber C., Schwartz, W., and Magrass, Y. (1990).Power in the Highest Degree: Professionals and the Rise of the New Mandarin Class. New York: Oxford University Press.Google Scholar
  12. Estroff, S. (1981).Making It Crazy. Berkeley, Cal.: University of California Press.Google Scholar
  13. Freidson, E. (1970).Profession of Medicine. New York: Harper and Row.Google Scholar
  14. Gabe, J., and Bury, M. (1988). “Tranquillizers as a social problem.”Sociological Review 36(2):320–352.Google Scholar
  15. Gabe, J., and Thorogood, N. (1986). “Prescribed drug use and the management of everyday life: The experiences of black and white working-class women.”Sociological Review 34 (4): 737–772.Google Scholar
  16. Gabe, J., and Williams, P. eds. (1986).Tranquillizers: Social, Psychological and Clinical Perspectives. London: Tavistock.Google Scholar
  17. Glaser, B., and Strauss, A. (1967).The Discovery of Grounded Theory. Chicago: Aldine.Google Scholar
  18. Goffman, E. (1961).Asylums: Essays on the Social Situations of Mental Patients. Garden City, New York: Doubleday Anchor.Google Scholar
  19. Greil, A., and Rudy, D. (1984). “Social cocoons: Encapsulation and identity transforming organizations.”Sociological Inquiry 54: 260–278.Google Scholar
  20. Gross, M. (1978).The Psychological Society. New York: Random House.Google Scholar
  21. Helman, C. (1981). “Tonic, fuel and food: Social and symbolic aspects of the long term use of psychotropic drugs.”Social Science and Medicine 15B (4): 521–533.Google Scholar
  22. Heirich, M. (1977). “Change of heart: A test of some widely held theories of religious conversion.”American Journal of Sociology 85: 653–680.Google Scholar
  23. Hewitt, J. (1991).Self and Society. Boston: Allyn and Bacon.Google Scholar
  24. Holstein, J., and Miller, G. (1990). “Rethinking victimization: An interactional approach to victimology.”Symbolic Interaction 13: 103–122.Google Scholar
  25. Karp, D. (1992). “Illness ambiguity and the search for meaning.”Journal of Contemporary-Ethnography 21: 139–170.Google Scholar
  26. Karp, D. (forthcoming). “Living with depression: Illness and identity turning points.”Journal of Qualitative Health Research.Google Scholar
  27. Karp, D., and Yoels, W. (1993).Sociology in Everyday Life. Itasca, Illinois: Peacock Publishing Co.Google Scholar
  28. Lasch, C. (1980). “Life in the therapeutic state.”New York Review of Books 12 (June): 24–31.Google Scholar
  29. Laing, R. D. (1967).The Politics of Experience. New York: Ballantine Books.Google Scholar
  30. Lemert, E. (1951).Social Pathology. New York: McGraw-Hill.Google Scholar
  31. Lindesmith, A. (1947).Opiate Addiction. Bloomington, Indiana: Indiana University Press.Google Scholar
  32. Lofland, J., and Skonvd, L. (1983). “Patterns of conversion.” In E. Barker, ed.Of Gods and Men: New Religious Movements in the West. Macon, Ga.: Mercer University Press.Google Scholar
  33. Lyman, S., and Scott, M. (1968). “Accounts.”American Sociological Review 33 (December): 46–62.Google Scholar
  34. Mills, C. W. (1972). “Situated actions and vocabularies of motive.” InSymbolic Interaction. ed. J. Manis and B. Meltzer. Boston: Allyn & Bacon.Google Scholar
  35. Petursson, H., and Lader, M. (1986). “Benzodiazepine dependence.” InTranquillizers, ed. J. Gabe and P. Williams. London: Tavistock.Google Scholar
  36. Powell, T. (1987).Self help Organizations and Professional Practice. Silver Spring, Md.: National Association of Social Workers.Google Scholar
  37. Powell, T., ed. (1990).Working With Self Help. Silver Spring, Md.: National Association of Social Workers.Google Scholar
  38. Reynolds, L. (1990).Interactionism: Exposition and Critique. Dix Hills, New York: General Hall.Google Scholar
  39. Robbins, T. (1988).Cults, Converts and Charisma. Newbury Park, Cal.: Sage Publications Inc.Google Scholar
  40. Scheff, T. (1966).Being Mentally Ill. Chicago: Aldine.Google Scholar
  41. Snow. D., and Machalek, R. (1984). “The sociology of conversion.”Annual Review of Sociology 10: 167–190.Google Scholar
  42. Strauss, A. (1992). “Turning points in identity.” InSocial Interaction, ed. C. Clark and H. Robboy, 149–55. New York: St. Martin's.Google Scholar
  43. Szasz, T. (1970).Ideology and Insanity. Garden City, New York: Anchor Books.Google Scholar
  44. Weber, M. (1947).The Theory of Social and Economic Organization., trans. A. M. Henderson and T. Parsons. New York: Oxford University Press.Google Scholar

Copyright information

© Human Sciences Press, Inc 1993

Authors and Affiliations

  • David A. Karp
    • 1
  1. 1.Department of SociologyBoston CollegeChestnut Hill

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