Is my mind my own? Inside managing self-diagnosed insomnia in a mixed economy: a critical autoethnography

PhD Thesis


Martin, A. 2024. Is my mind my own? Inside managing self-diagnosed insomnia in a mixed economy: a critical autoethnography. PhD Thesis School of Allied and Public Health Professions
AuthorsMartin, A.
TypePhD Thesis
Qualification nameDoctor of Philosophy
Abstract

All humans need sleep to survive, whereas primary insomnia is said to be a common occurrence among all age groups. A myriad of factors can influence one’s sleep patterns, stress simply being one of them. Sleep happens at night for most people while the largest part of the day is apportioned to labour and priming future labour. Some people fall asleep without thinking about how to, how long they must sleep for and/or why they need a perceived amount of sleep. However, the quality and a set number of hours of sleep are a growing obsession with a tight grip on the populace in the West and thus the expanding billion-dollar sleep industry. This study aimed to de-commodify the self-management of what society designates as primary insomnia.

I used critical autoethnography to examine physical, psychological and socioeconomic aspects of self-managing primary insomnia in a mixed economy. I combined narratives with visual inspirations as sources of data throughout this undertaking. Historical materialism as an organising concept for Marxian analysis and the adaptive control of thought–rational shaped my narrative analysis and synthesis to derive explanations for mechanisms influencing night-time sleep struggles.

I established that primary insomnia is an anxiety about night-time sleep due to the structured window of opportunity for sleep to occur, which the controls of social order determine. A range of commodities are available on the sleep market for individuals to consume and compel night-time sleep when human nature sways out of the expected order. The efficacy of sleep commodities for ameliorating quantity and quality comes into question as sleep commodities work to perpetuate night-time sleep anxiety. The type of consciousness embedded in the material form of things often comes before the awareness of their use value. The sleep anxiety stemming from evaluating purchases against the quality and amount of sleep awakes the realisation about the worth in the commercial dealings of sleep, which is essentially innate to humans.

KeywordsInsomnia; Self-management
Year2024
File
File Access Level
Open
Publication process dates
Deposited17 Sep 2024
Permalink -

https://repository.canterbury.ac.uk/item/9905y/is-my-mind-my-own-inside-managing-self-diagnosed-insomnia-in-a-mixed-economy-a-critical-autoethnography

Download files


File
  • 58
    total views
  • 165
    total downloads
  • 3
    views this month
  • 17
    downloads this month

Export as

Related outputs

The development, implementation and evaluation of an online resource for the AHP educator career framework
Hammond, J., Hilburn, N., Martin, A. and Kerrell, R. 2024. The development, implementation and evaluation of an online resource for the AHP educator career framework.
The implementation and evaluation of the AHP educator career framework
Hammond, J., Hilburn, N., Martin, A. and Kerrell, R. 2024. The implementation and evaluation of the AHP educator career framework . NHS England.
Community areas of sustainable care and dementia excellence in Europe (CASCADE) - Final report: A process and technology evaluation of the CASCADE programme in the United Kingdom implementation sites
Martin, A., Hatzidimitriadou, E., Sangeorzan, I., Smith, R., Wright, T., Price, N., Sirlantzis, K. and Rajapakse, S. 2023. Community areas of sustainable care and dementia excellence in Europe (CASCADE) - Final report: A process and technology evaluation of the CASCADE programme in the United Kingdom implementation sites. Canterbury Canterbury Christ Church University.
Community areas of sustainable care and dementia excellence in Europe (CASCADE) - Final report findings from the evaluation study of the CASCADE model at two implementation sites in Belgium
Sangeorzan, I., Martin, A., Hatzidimitriadou, E., Smith, R., Hulbert, S. and Wright, T. 2023. Community areas of sustainable care and dementia excellence in Europe (CASCADE) - Final report findings from the evaluation study of the CASCADE model at two implementation sites in Belgium. Canterbury Canterbury Christ Church University.
Community areas of sustainable care and dementia excellence in Europe (CASCADE) - Executive report: A retrospective analysis of the ZorgSaam model of long-term home and residential care for older adults
Martin, A., Smith, R., Hatzidimitriadou, E., Sangeorzan, I., Hulbert, S. and Wright, T. 2023. Community areas of sustainable care and dementia excellence in Europe (CASCADE) - Executive report: A retrospective analysis of the ZorgSaam model of long-term home and residential care for older adults. Canterbury Canterbury Christ Church University.
Effectiveness of the community areas for sustainable dementia care and excellence in Europe (CASCADE) model of care: findings from a residential care home in Belgium
Martin, A. and Hatzidimitriadou, E., Smith, R., Sangeorzan, I., Wright, T., & Hulbert, S. 2022. Effectiveness of the community areas for sustainable dementia care and excellence in Europe (CASCADE) model of care: findings from a residential care home in Belgium.
Overcoming COVID-19 constraints on person centered dementia care: A narrative inquiry of lived experiences of residential care staff in Belgium
Martin, A. 2022. Overcoming COVID-19 constraints on person centered dementia care: A narrative inquiry of lived experiences of residential care staff in Belgium. Journal of Long-Term Care. pp. 183-192. https://doi.org/10.31389/jltc.129
The experiences and perceptions of people living with dementia, informal carers and healthcare professionals of integrated care: findings from a qualitative evidence synthesis
Martin, A. and Smith, R., Martin, A, Wright, T., Hulbert, S.,& Hatzidimitriadou,E. 2021. The experiences and perceptions of people living with dementia, informal carers and healthcare professionals of integrated care: findings from a qualitative evidence synthesis.
Overcoming the COVID-19 constraints on person-centred dementia care: a narrative inquiry of experiences of residential care staff in Belgium
Martin, A. and Hatzidimitriadou, E. 2021. Overcoming the COVID-19 constraints on person-centred dementia care: a narrative inquiry of experiences of residential care staff in Belgium.
Integrated dementia care: A qualitative evidence synthesis of the experiences of people living with dementia, informal carers and healthcare professionals.
Smith, R., Martin, A., Wright, T., Hulbert, S. and Hatzidimitriadou, E. 2021. Integrated dementia care: A qualitative evidence synthesis of the experiences of people living with dementia, informal carers and healthcare professionals. Archives of Gerontology and Geriatrics. 97, p. 104471. https://doi.org/S0167-4943(21)00134-5
The CASCADE project: exploring a ‘guest house’ concept
Smith, R., Wright, T., Martin, A. and Hatzidimitriadou, E. 2020. The CASCADE project: exploring a ‘guest house’ concept. Journal of Dementia Care. 28 (5), pp. 20-21.
Developing an integrated career and competence framework for whole systems approach to urgent and emergency care delivery
Martin, A. and Manley, K. 2019. Developing an integrated career and competence framework for whole systems approach to urgent and emergency care delivery. International Emergency Nursing. https://doi.org/10.1016/j.ienj.2019.06.007
An acquired or heritable connective tissue disorder? a review of hypermobile Ehlers Danlos Syndrome
Martin, A. 2019. An acquired or heritable connective tissue disorder? a review of hypermobile Ehlers Danlos Syndrome. European Journal of Medical Genetics. https://doi.org/10.1016/j.ejmg.2019.103672
The whole systems approach to integrating urgent and emergency care
Manley, K., Martin, A., Jackson, C. and Wright, T. 2015. The whole systems approach to integrating urgent and emergency care. Health Service Journal- for healthcare leaders.
A realist synthesis of effective continuing professional development (CPD): a case study of healthcare practitioners' CPD
Manley, K., Martin, A., Jackson, C. and Wright, T. 2018. A realist synthesis of effective continuing professional development (CPD): a case study of healthcare practitioners' CPD. Nurse Education Today. 69, pp. 134-141.
A scoping review of staff training and education needs
Martin, A. and Jackson, C. 2018. A scoping review of staff training and education needs.
Using participatory, practice development, Delphi and realist research approaches to understand how frontline teams can use the workplace to make sustainable improvements in the quality of their practice
Manley, K., Jackson, C., Martin, A. and Wright, T. 2018. Using participatory, practice development, Delphi and realist research approaches to understand how frontline teams can use the workplace to make sustainable improvements in the quality of their practice.
Safety culture, quality improvement, realist evaluation (SCQIRE): evaluating the impact of the patient safety collaborative initiative
Manley, K., Jackson, C., McKenzie, C., Martin, A. and Wright, T. 2017. Safety culture, quality improvement, realist evaluation (SCQIRE): evaluating the impact of the patient safety collaborative initiative.
Patient safety, culture, leadership and improvement capability in frontline practice
Martin, A. and Manley, K. 2017. Patient safety, culture, leadership and improvement capability in frontline practice.
A scoping review of gaps and priorities in dementia care in Europe
Martin, A., O'Connor, S. and Jackson, C. 2018. A scoping review of gaps and priorities in dementia care in Europe. Dementia: The International Journal for Social Research and Practice. https://doi.org/10.1177/1471301218816250
Developing standards for an integrated approach to workplace facilitation for interprofessional teams in health and social care contexts: a Delphi study
Martin, A. and Manley, K. 2017. Developing standards for an integrated approach to workplace facilitation for interprofessional teams in health and social care contexts: a Delphi study. Journal of Interprofessional Care. https://doi.org/10.1080/13561820.2017.1373080
The contribution of community singing groups to the well-being of older people: participant perspectives from the United Kingdom
Skingley, A., Martin, A. and Clift, S. 2016. The contribution of community singing groups to the well-being of older people: participant perspectives from the United Kingdom. Journal of Applied Gerontology. 35 (12), pp. 1302-1324. https://doi.org/10.1177/0733464815577141
Safe caseloads for adult community nursing services – an updated review of the evidence
Jackson, C., Wright, T. and Martin, A. 2016. Safe caseloads for adult community nursing services – an updated review of the evidence.
Transforming the workforce through systems leadership and workplace facilitation of learning development and improvement
Manley, K. and Martin, A. 2016. Transforming the workforce through systems leadership and workplace facilitation of learning development and improvement. Enhancing Practice Conference: Unearthing the Architecture of Practice Patterns, Practice Development and the Co-Construction of Healthful Workplaces. Queen Margaret University, Edinburgh, Scotland
Using systems thinking to identify workforce enablers for a whole systems approach to urgent and emergency care delivery: a multiple case study
Manley, K., Martin, A., Jackson, C. and Wright, T. 2016. Using systems thinking to identify workforce enablers for a whole systems approach to urgent and emergency care delivery: a multiple case study. BMC Health Services Research. https://doi.org/10.1186/s12913-016-1616-y
Developing a caseload model to reflect the complexity of district and community nursing
Wright, T., Jackson, C., Manley, K., Martin, A. and Leary, A. 2015. Developing a caseload model to reflect the complexity of district and community nursing. Primary Health Care. 25 (7), pp. 32-33. https://doi.org/10.7748/phc.25.7.32.e1057
Continuing professional development (CPD) for quality care: context, mechanisms, outcome and impact: Education Outcomes Framework: round 2 funding: final report January 2015
Jackson, C., Manley, K., Martin, A. and Wright, T. 2015. Continuing professional development (CPD) for quality care: context, mechanisms, outcome and impact: Education Outcomes Framework: round 2 funding: final report January 2015. Canterbury Christ Church University England Centre for Practice Development.
Transforming urgent & emergency care together: phase 1 final report
Manley, K., Jackson, C., Martin, A., Apps, J., Setchfield, I., Oliver, G., East Kent Hospitals University NHS Foundation Trust, South East Coast Ambulance Service and Ashford, NHS Canterbury & Coastal, NHS South Kent Coast and NHS Thanet Clinincal Commissioning Groups 2014. Transforming urgent & emergency care together: phase 1 final report. Canterbury, UK England Centre for Practice Development: Canterbury Christ Church University.
The Cassandra Project- building a sustainable workload activity model for future community and district nursing workforce capacity planning
Jackson, C., Leary, A., Manley, K., Wright, T. and Martin, A. 2015. The Cassandra Project- building a sustainable workload activity model for future community and district nursing workforce capacity planning.
Transforming urgent & emergency care together: developing standards for integrated facilitation in and about the workplace
Manley, K., Martin, A., Jackson, C., Wright, T. and Health Education Kent Surrey and Sussex 2015. Transforming urgent & emergency care together: developing standards for integrated facilitation in and about the workplace. Canterbury, UK Canterbury Christ Church University.
Making the complexity of community nursing visible: the Cassandra project
Jackson, C., Manley, K., Martin, A., Wright, T. and Leadbetter, T. 2015. Making the complexity of community nursing visible: the Cassandra project. British Journal of Community Nursing. 20 (3), pp. 126-133. https://doi.org/10.12968/bjcn.2015.20.3.126
Engagement-related process factors in services for street-connected children and young people in low and middle income countries: a thematic synthesis
Coren, E., Hossain, R., Ramsbotham, K., Martin, A. and Pardo Pardo, J. 2014. Engagement-related process factors in services for street-connected children and young people in low and middle income countries: a thematic synthesis. London International Initiative for Impact Evaluation (3ie).
Interventions for promoting reintegration and reducing harmful behaviour and lifestyles in street-connected children and young people
Coren, E., Hossain, R., Pardo Pardo, J., Veras, M., Chakraborty, K., Harris, H. and Martin, A. 2013. Interventions for promoting reintegration and reducing harmful behaviour and lifestyles in street-connected children and young people. The Cochrane Library. https://doi.org/10.1002/14651858.CD009823.pub2
The Cassandra project: recognising the multidimensional complexity of community nursing for workforce development
Jackson, C., Leary, A., Wright, T., Leadbetter, T., Manley, K. and Martin, A. 2015. The Cassandra project: recognising the multidimensional complexity of community nursing for workforce development. Canterbury Christ Church University England Centre for Practice Development.