“沉默和受谴责的旅行者”?病人的叙述和病人的声音:1948年以来精神疾病史的视角。

K. Davies
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引用次数: 34

摘要

本文试图通过使用叙事框架的概念,展示患者的口头证词如何对20世纪下半叶的精神疾病史做出有益的贡献和挑战。这项工作是从一项更广泛的研究中产生的,该研究旨在通过对牛津郡的研究,检查从引入NHS到现在精神疾病经历的变化和连续性。精神病学本身和精神病学的历史编纂在许多方面使病人或服务使用者沉默。然而,可接受的沟通方式一直存在,这些都是通过患者的叙述来揭示的。对21位患者访谈的深入分析导致了三种关键的可接受叙事或叙事框架的出现,这些是:失去的故事,生存和自我发现的故事,以及作为患者的自我叙述。通过检查患者和使用者理解和呈现他们的疾病经历的三个关键框架,本文试图追踪一般与特殊、社会与个人之间的相互作用,并有助于更细致入微地理解最近的精神健康和疾病史。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
'Silent and censured travellers'? Patients' narratives and patients' voices: perspectives on the history of mental illness since 1948.
This article seeks to demonstrate how patients' oral testimony can usefully contribute to--and challenge--the history of mental illness in the second half of the twentieth century, through the use of the concept of narrative frames. This work has emerged from a broader study which seeks to examine shifts and continuities in the experiences of mental illness from the introduction of the NHS to the present day, through a study of Oxfordshire. Psychiatry itself and the historiography of psychiatry have in many ways silenced the patient or service user. Nevertheless, acceptable means of communication have always existed, and these are revealed through patients' narratives. In-depth analysis of 21 interviews with patients has led to the emergence of three key acceptable narratives or narrative frames, these being: stories of loss, tales of survival and self-discovery, and narratives of the self as patient. Through examination of three key frames by which patients and users have understood and presented their illness experiences, this article seeks to trace the interactions between the general and the particular, the social and the individual, and to contribute to a more nuanced understanding of the recent history of mental health and illness.
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