Applying Discursive Approaches to Health Psychology

• Published in: Health psychology 2015-04, Vol.34 (4), p.371-380
• Main Author: Seymour-Smith, Sarah
• Format: Article
• Language: English
• Subjects: Behavioral Medicine - methods; Experimentation; Feeding Behavior - psychology; Female; Health Care Psychology; Human; Humans; Interview, Psychological - methods; Male; Obesity - psychology; Obesity - therapy; Qualitative Research
• ISSN: 0278-6133; 1930-7810
• DOI: 10.1037/hea0000165

Objective: The aim of this paper is to outline the contribution of two strands of discursive research, glossed as 'macro' and 'micro,' to the field of health psychology. A further goal is to highlight some contemporary debates in methodology associated with the use of interview data versus more naturalistic data in qualitative health research. Method: Discursive approaches provide a way of analyzing talk as a social practice that considers how descriptions are put together and what actions they achieve. Results: A selection of recent examples of discursive research from one applied area of health psychology, studies of diet and obesity, are drawn upon in order to illustrate the specifics of both strands. 'Macro' discourse work in psychology incorporates a Foucauldian focus on the way that discourses regulate subjectivities, whereas the concept of interpretative repertoires affords more agency to the individual: both are useful for identifying the cultural context of talk. Both 'macro' and 'micro' strands focus on accountability to varying degrees. 'Micro' Discursive Psychology, however, pays closer attention to the sequential organization of constructions and focuses on naturalistic settings that allow for the inclusion of an analysis of the health professional. Conclusion: Diets are typically depicted as an individual responsibility in mainstream health psychology, but discursive research highlights how discourses are collectively produced and bound up with social practices.