This article takes a discursive psychology approach to the analysis of illness narrative. The controversial topic of ME (myalgic encephalomyelitis), otherwise known as chronic fatigue syndrome (CFS), is used as a case study to examine the dilemmatics of illness talk. Using data from an ME narrative, I explore the complex and subtle discursive work performed by participants to show how attributional stories and identity formulations are linked together in a narrative that works to construct ME as a physical disease while countering potential accusations of malingering or psychological vulnerability. In working to counter such explanations, sufferers paradoxically implicate themselves in an interpretation of their illness as self-inflicted through overwork and mismanagement. In previous research, tales of frenetic lifestyles prior to the onset of ME have provided analysts (and journalists) with grounds for constructing their own attributional stories in the form of 'opt-out' or 'burnout' theories of ME/CFS. An ethnomethodologically informed discursive psychology provides a non-cognitivist approach to analysis which looks in detail at how sufferers themselves make sense of ME as a practical activity and how their identities are constructed as part of that process.

This article applies discourse analysis to examine how Attention Deficit Hyperactivity Disorder has been represented and debated in UK newspapers in the last decade. Two repertoires of ADHD are identified as the biological and the psychosocial. The analysis shows how subjectivities are embedded in these repertoires, such that constructions of the problem child, abnormal or ordinary naughty child and ineffectual, neglectful, or confused parents support alternative versions of ADHD.The biological repertoire justifies and encourages drug treatment for ADHD whilst the psychosocial repertoire supports moral judgements about parenting practices in a 'sick society'. Although these might be seen as competing repertoires, they also represent two different ways that media representations encourage families to regulate themselves in dealing with ADHD.

This article takes a discursive psychology approach to the analysis of medical case narratives. An analysis of interview extracts on the topic of ME (CFS) shows how GPs use bio-psycho-social reasoning to construct the patient’s identity and to define their illness as mental or physical. Patients’ identities are ‘talked up’ using bio-psycho-social ‘evidence’; they are constructed in the process of explaining the origins of an illness as mental or physical. This has much in common with identity construction in the illness narratives of ME patients. The analysis also shows how identity construction can function as a justification for defining an illness as psychosomatic and effectively ‘shifting the blame’ for what might otherwise be treated as medical failure or uncertainty. These processes show how a discursive analysis can shed more light on how bio-psycho-social reasoning functions in doctors’ case constructions.

This article uses discursive psychology to analyse how knowledge claims and entitlements are locally produced in an ME support group meeting and a research interview. The article demonstrates how 'expertise' and 'experience' associated with lay and professional membership are locally constituted in the activity of reasoning, arguing and claims making. The analysis shows how expertise and experiential claims are constructed, disclaimed, warranted and undermined in relationship to membership categorization and entitlements to knowledge that are co-constructed in the process of a discussion about disease labels and the nature of the illness as physical or psychological. In a discussion about the definition of contested disease categories, what is 'at stake' for the group members is the entitlement to speak from experience as members who can 'know' their own minds.

Discursive psychology is used to study the gendering of attention deficit hyperactivity disorder in UK national newspapers in the period of 2009-2011. The analysis examines how gendering is embedded in causal attributions and identity constructions. Attention deficit hyperactivity disorder is portrayed as a predominantly male phenomenon with representations of attention deficit hyperactivity disorder being gendered through extreme stories about victims, villains or heroes that depict boys and men as marginalised, exceptional or dangerous. There is also a focus on mothers as the spokespersons and caretakers for parenting and family health while fathers are rendered more invisible. This contributes to our understanding of how attention deficit hyperactivity disorder is constructed in the media using a range of gendered representations that draw on cultural stereotypes familiar in Western societies.