Medical Relabeling in Gamblers Anonymous
Medical Relabeling in Gamblers Anonymous
复制标题
匿名赌徒中的医疗重新标签
DOI：
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发表时间：
1990
期刊：
影响因子：
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通讯作者：
D. Saunders
中科院分区：
文献类型：
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作者：
David N. Turner;D. Saunders
一项为期12个月的参与者观察研究对南威尔士的两个赌徒匿名者(GA)团体进行了研究，原因是专业和学术调查人员越来越重视对赌博的医学理解。这样的理解不能归因于个人的能力，除了通过感染一种通常被称为“强迫性赌博”的疾病而失去对自己的控制的能力。通过从大会会议、个人访谈和其他非正式聚会收集信息，我们得出结论，遇到其他患者会产生两个广泛的后果：接受他们的病情状态(患病)或拒绝这样的诊断(尽管是镜像自我)，但知道他们正在带着重建的自我形象及其结果意义回到“外部”世界。那些承认诊断结果的人必须致力于康复计划，而这个计划永远不会最终实现它所建议的结果。需要承诺的不是他们自己的复兴，而是大会的意志，这是一股依赖于群体说服的力量才能持续下去的力量。这些都是这种自助团体背后的驱动因素，以及公开表示的愿望，即帮助个人摆脱一种无形的疾病，这种疾病实际上是由更大的社会构建的，而那些不遵守或似乎威胁到这种规范的个人或个人团体也有同样的愿望。文章概述了医学模型的各个阶段，读者可以认同这段寻找新自我的旅程中的几个重要角色-GA成员将自己描述为一个他们显然都在努力争取的“理想类型”。
A 12-monthparticipant observation study of two Gamblers Anonymous (GA) groups in South Wales was prompted by concern with the increasing emphasis placed by professional and academic investigators upon a medical understanding of gambling. Such an understanding attributes little to the capacity of individuals apart from the ability to lose control of themselves through the contraction of a disease commonly described as "compulsive gambling. " Through the collection of information from GA meetings, personal interviews, and other informal gatherings, it is concluded that two broad consequences arise from encountering fellow sufferers: an acceptance of the state of their condition (diseased) or a rejection of such a diagnosis (in spite of mirror-image selves) but with the knowledge that they are returning to the "outside" world with a reconstituted self-image and its consequential meaning. Those individuals who concede to the diagnosis must commit themselves to a recovery program that will never ultimately achieve what it suggests. A commitment is required not to their own rehabilitation but to the will of GA, a force that relies on the power of group persuasion for its very continuance. These are the driving elements behind such a self-help group, as well as a professed desire to help individuals shed themselves of an invisible disease that has in fact been constructed by the larger society, and which is shared by those individuals or groups of individuals who do not conform or appear to threaten such norms. A passage through the stages of the medical model is outlined and the reader can identify with several important roles within this journey in search of a new self a self portrayed by GA members as an "ideal type, " one for which they all apparently strive.