Reference Mitchell and SelmesMitchell & Selmes (2007) neglect a key reference that is useful in developing our understanding of this issue. Reference Pound, Britten and YardleyPound et al (2005) conducted the qualitative equivalent of a meta-analysis of issues surrounding the way in which patients take (or don't take) their medication as prescribed. Out of this was identified the concept of ‘resistance’ to taking medication. This is a significant conceptual and practical theme. It has particular importance as it links the issue of taking psychotropic medication with taking medication in general. Resistance emphasises how taking medication interacts with a patient's sense of self and how not taking medication needs to be understood in this context.