“…He shows this process to be affectively rich, challenge the boundaries placed upon representation, and develop individuals and groups' social identities (Holton, 1988). Drawing this together, we propose that themes contain the interdependencies between what is spoken about, who is speaking, and who is addressed, and when and where the communication takes place (Caillaud & Kalampalikis, 2013; Foster, 2014; Marková, 2008; Wagner, 2015). Whilst there is a robust epistemological foundation for this broad understanding of a theme (please see Marková, 2008 for an excellent discussion), given the diversity of contents and processes included, it does present a challenge for the production of the simple coding manuals popular in health communication (Joffe, 2012).…”