How do research participants with age-related vision loss talk about their experiences? A secondary discourse analysis of published qualitative extracts.

Age-related macular degeneration (AMD) is a chronic, progressive eye condition that can affect individuals in later life and lead to loss of central visual function. In this analysis, we aimed to explore the discursive landscape of talk about AMD, drawing on extracts published in peer-reviewed quali...

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Publicado en:Ageing & Society Vol. 45; no. 6; pp. 1104 - 1143
Autores principales: Enoch, Jamie, Subramanian, Ahalya, Willig, Carla
Formato: Artículo
Publicado: Cambridge University Press Jun2025
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: How do research participants with age-related vision loss talk about their experiences? A secondary discourse analysis of published qualitative extracts.
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          Enoch, Jamie
          Subramanian, Ahalya
          Willig, Carla
        affil:
          Department of Psychology, School of Health and Psychological Sciences, City, University of London, London, UK
          Department of Optometry and Visual Sciences, School of Health and Psychological Sciences, City, University of London, London, UK
      su:
        Elder care
        People with visual disabilities
        Attitudes toward illness
        Qualitative research
        Control (Psychology)
        Human research subjects
        Metaphor
        Discourse analysis
        Aging
        Despair
        Social skills
        Secondary analysis
        Retinal degeneration
        Research
        Information retrieval
        Electronic publications
      sug:
        subj:
          Elder care
          People with visual disabilities
          Attitudes toward illness
          Qualitative research
          Control (Psychology)
          Human research subjects
          Metaphor
          Discourse analysis
          Aging
          Despair
          Social skills
          Continuing Care Retirement Communities
          Secondary analysis
          Retinal degeneration
          Research
          Information retrieval
          Electronic publications
      keyword:
        age-related macular degeneration
        discourse analysis
        qualitative methodology
        secondary analysis
        visual impairment
        age-related macular degeneration
        discourse analysis
        qualitative methodology
        secondary analysis
        visual impairment
      ab: Age-related macular degeneration (AMD) is a chronic, progressive eye condition that can affect individuals in later life and lead to loss of central visual function. In this analysis, we aimed to explore the discursive landscape of talk about AMD, drawing on extracts published in peer-reviewed qualitative studies on AMD. Drawing on procedures of qualitative meta-synthesis, we compiled a corpus of raw data extracts from 25 qualitative studies on AMD published in English, largely carried out in high-income countries. Extracts were analysed to identify dominant discourses and key interpretative repertoires (such as recurring metaphors, tropes and figures of speech). We adopted a Foucauldian discourse analytic approach, to consider the implications of dominant discourses, and their associated subject positions, for the subjective experience of living with AMD. Our analysis identified five distinct ways in which AMD was constructed in research participants' talk about experiences of AMD. They included: AMD as a mysterious affliction, linked to biological ageing; AMD as a total loss of independence; AMD as grievous loss; AMD as a condition to be stoically accepted; and – to a more limited extent – AMD as an opportunity for discovery. Drawing on theory from critical disability studies and gerontology, we suggest that the constructions identified are underpinned by broader societal discourses which construct ageing and disability in largely negative, medicalised and individualistic terms. Taking up subject positions within such discourses may compound feelings of isolation, hopelessness and powerlessness. We suggest there may be value in exploring talk about experiences of living with AMD within a broader range of everyday social, relational and environmental contexts.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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