{"title":"但这是必须先去除的巫术\":尼日利亚精神健康诊所对精神分裂症的诊断和体验的关系协商。","authors":"Daniel Oluwafemi Ajayi","doi":"10.3138/cam.24273","DOIUrl":null,"url":null,"abstract":"<p><p>In Nigeria, diagnoses of schizophrenia and descriptions of its symptoms and experiences are shaped by numerous biomedical and sociocultural perspectives. However, although many studies have focused on the social realities and public attitudes towards the disorder, the interactional means of how its diagnoses and experiences are constituted in psychiatric interviews have not hitherto received close attention from linguists in Nigeria. This paper thus examines a corpus of 56 audio recorded interviews in mental health clinics in southwestern Nigeria, using insights from Arundale's concept of communicating and relating and Stalnaker's notion of common ground. It observes that diagnoses of the disorder do not subscribe to any rigid diagnostic pathways, but evolve from the relational, provisional and operative interpretation of the design of its experiences and other shared contextual situations that collectively instantiate the knowledge of mental illness in Nigeria.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"19 3","pages":"193-206"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"'But this is a wizardry something that has to be removed first': Relational negotiation of diagnoses and experiences of schizophrenia in Nigerian mental health clinics.\",\"authors\":\"Daniel Oluwafemi Ajayi\",\"doi\":\"10.3138/cam.24273\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>In Nigeria, diagnoses of schizophrenia and descriptions of its symptoms and experiences are shaped by numerous biomedical and sociocultural perspectives. However, although many studies have focused on the social realities and public attitudes towards the disorder, the interactional means of how its diagnoses and experiences are constituted in psychiatric interviews have not hitherto received close attention from linguists in Nigeria. This paper thus examines a corpus of 56 audio recorded interviews in mental health clinics in southwestern Nigeria, using insights from Arundale's concept of communicating and relating and Stalnaker's notion of common ground. It observes that diagnoses of the disorder do not subscribe to any rigid diagnostic pathways, but evolve from the relational, provisional and operative interpretation of the design of its experiences and other shared contextual situations that collectively instantiate the knowledge of mental illness in Nigeria.</p>\",\"PeriodicalId\":39728,\"journal\":{\"name\":\"Communication and Medicine\",\"volume\":\"19 3\",\"pages\":\"193-206\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Communication and Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3138/cam.24273\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Communication and Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3138/cam.24273","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
'But this is a wizardry something that has to be removed first': Relational negotiation of diagnoses and experiences of schizophrenia in Nigerian mental health clinics.
In Nigeria, diagnoses of schizophrenia and descriptions of its symptoms and experiences are shaped by numerous biomedical and sociocultural perspectives. However, although many studies have focused on the social realities and public attitudes towards the disorder, the interactional means of how its diagnoses and experiences are constituted in psychiatric interviews have not hitherto received close attention from linguists in Nigeria. This paper thus examines a corpus of 56 audio recorded interviews in mental health clinics in southwestern Nigeria, using insights from Arundale's concept of communicating and relating and Stalnaker's notion of common ground. It observes that diagnoses of the disorder do not subscribe to any rigid diagnostic pathways, but evolve from the relational, provisional and operative interpretation of the design of its experiences and other shared contextual situations that collectively instantiate the knowledge of mental illness in Nigeria.
期刊介绍:
Communication & Medicine continues to abide by the following distinctive aims: • To consolidate different traditions of discourse and communication research in its commitment to an understanding of psychosocial, cultural and ethical aspects of healthcare in contemporary societies. • To cover the different specialities within medicine and allied healthcare studies. • To underscore the significance of specific areas and themes by bringing out special issues from time to time. • To be fully committed to publishing evidence-based, data-driven original studies with practical application and relevance as key guiding principles.