Paradigms underlying the study of nerves as a popular illness term in eastern Kentucky.
Paradigms underlying the study of nerves as a popular illness term in eastern Kentucky.
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作为肯塔基州东部流行疾病术语的神经研究的范式。
DOI：
10.1080/01459740.1989.9965979
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发表时间：
1989
影响因子：
2.3
通讯作者：
VanSchaik,E
中科院分区：
文献类型：
--
作者：
VanSchaik,E
根据哈贝马斯（1965）确定的三个知识构成兴趣，对神经作为肯塔基州东部流行疾病术语进行研究的理论范式进行了检查。针对流行疾病类别的实证主义生物医学方法侧重于该术语的疾病分类特征，但未能认识到疾病所传达的社会关系。对疾病术语的解释学方法侧重于个人表达痛苦，也可能掩盖了影响那些用流行疾病术语表达痛苦的人的健康的社会关系。肯塔基州东部的一项以批判性视角进行的神经研究表明，广泛的一般症状通过流行的神经疾病类别与社会关系相关。抱怨神经紧张的人的日常生活特点是，在阿巴拉契亚贫困、就业机会有限、情感和社会支持来源有限的背景下，不断努力应对家庭生活的责任。这场斗争所带来的痛苦经历被解释为神经症状，但线人却如此。
Theoretical paradigms underlying the study of nerves as a popular illness term in eastern Kentucky are examined in light of the three knowledge‐constitutive interests identified by Habermas (1965). A positivist biomédical approach to popular illness categories that focuses on the nosological features of the term fails to recognize the social relations communicated by the complaint. A hermeneutic approach to illness terms that focuses on the individual communication of distress may also conceal the social relations that shape the health of those who express their distress in popular illness terms. A study of nerves in eastern Kentucky, informed by a critical perspective, suggests that a broad range of general symptoms is linked to social relations through the popular illness category of nerves. The daily lives of individuals who complain of nerves are characterized by continuous struggles to cope with the responsibilities of family life in an Appalachian context of poverty, restricted opportunities for employment, and limited sources of emotional and social support. Experiences of distress that result from this struggle are interpreted, but the informants, as symptoms of nerves.