{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T05:01:26Z","timestamp":1776229286485,"version":"3.50.1"},"reference-count":69,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,2,13]],"date-time":"2015-02-13T00:00:00Z","timestamp":1423785600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Sociology Health &amp; Illness"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Whereas social scientific studies have investigated the emergence of the category Obstructive Sleep Apnoea (OSA), the most commonly diagnosed sleep disorder, no study has examined whether and how the ways in which OSA emerged affect patients' reception of the diagnosis. This article fills this gap by drawing upon in\u2010depth interviews with 65 Israelis who received a laboratory diagnosis of OSA. This study finds that many patients doubt the accuracy of their diagnosis, and argues that this scepticism derives from contested macro\u2010level medicalisation processes that preceed and surround the development of OSA as a diagnostic category. Specifically, past and present controversies over the definitions of OSA and its precursor the \u2018Pickwickian syndrome\u2019 created images of \u2018OSA patients\u2019 as sleepy and obese. Consequently, patients whose self\u2010perception conflicted with this image questioned their diagnosis. Other patients argued that one night of sleep at a laboratory could not reflect their quality of sleep at home, thereby implicitly criticising the ways in which OSA was medicalised. This study enhances our understanding of the underexplored dynamics between the macro and micro levels of medicalisation.<\/jats:p>","DOI":"10.1111\/1467-9566.12229","type":"journal-article","created":{"date-parts":[[2015,2,13]],"date-time":"2015-02-13T13:24:04Z","timestamp":1423833844000},"page":"715-730","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Contesting medicalisation, doubting the diagnosis: patients' ambivalence towards the diagnosis of Obstructive Sleep Apnoea"],"prefix":"10.1111","volume":"37","author":[{"given":"Dana","family":"Zarhin","sequence":"first","affiliation":[{"name":"Department of Health Systems Management Ben\u2010Gurion University Be'er\u2010Sheva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,2,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1057\/palgrave.sth.8700053"},{"key":"e_1_2_8_3_1","volume-title":"Risk Society: Towards a New Modernity","author":"Beck U.","year":"1992"},{"key":"e_1_2_8_4_1","volume-title":"The Palgrave Handbook of Gender and Healthcare","author":"Bell S. 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