Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 429272
Title If you can't eat what you like, like what you can: how children with coeliac disease and their families construct dietary restrictions as a matter of choice
Author(s) Veen, M.; Molder, H. te; Gremmen, B.; Woerkum, C. van
Source Sociology of Health and Illness 35 (2013)4. - ISSN 0141-9889 - p. 592 - 609.
Department(s) Methodical Ethics and Technology Assessment
Strategic Communication
Applied Philosophy Group
Publication type Refereed Article in a scientific journal
Publication year 2013
Keyword(s) discursive psychology - illness - talking - type-2
Abstract Although it is recognised that a gluten-free diet has many social implications for coeliac disease patients, not much is known about how such patients actually manage these implications in their everyday interactions. This article examines how dietary restrictions are treated by patients and their families. Data from recorded mealtime conversations of seven Dutch families with children suffering from coeliac disease were analysed using discursive psychology. We found two main discursive strategies by which patients and their families manage the diet during mealtime interactions. A reference to pleasure is used to manage the tension between the child's agency and parental responsibility in the face of health requirements and, by softening the denial of food, the diet is normalised and treated as a shared family practice. The analysis shows that the gluten-free diet is demedicalised and treated as a matter of choice rather than prescription. We conclude with the practical implications of these findings.
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