Competing Constructivisms: The Negotiation of PTSD and Related Stigma Among Post-9/11 Veterans in New York City.
Competing Constructivisms: The Negotiation of PTSD and Related Stigma Among Post-9/11 Veterans in New York City.
复制标题
竞争的建构主义：纽约市 9/11 事件后退伍军人中 PTSD 和相关耻辱的谈判。
DOI：
10.1007/s11013-018-9586-7
复制
发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Golub,Andrew
中科院分区：
文献类型：
--
作者：
Elliott,Luther;Bennett,AlexanderS;Szott,Kelly;Golub,Andrew
创伤后应激障碍（PTSD）是一种跨越道德和精神领域的精神病理学形式。基于创伤的离散实例，PTSD代表了一个越来越关注精神疾病遗传学的时代的病因学异常值，也是社会建构主义分析精神疾病的主要场所。PTSD叙述的这种检查-正如在定性访谈和焦点小组与最近的伊拉克和阿富汗战争中生活在纽约市的50名退伍军人所表达的那样-关注退伍军人构思和导航PTSD症状和诊断的过程。在这样做的时候，我们强调了退伍军人自己所采取的社会建构主义立场，因为他们在与精神病学定义和与创伤后应激障碍相关的耻辱的对话中不断挑战和内化精神病学。研究结果表明，拒绝经典的精神病理学病因-在脑部疾病，例如-由许多退伍军人以及复杂的利益和耻辱的平衡，退伍军人进行时，作出决定提出精神科医生。借鉴退伍军人的帐户，我们认为更大的文化特异性特征的创伤幸存者的诊断寻求行为和更大的赞赏有关的矛盾和妥协接受和拒绝的心理健康诊断。
Posttraumatic stress disorder (PTSD) stands as a form of psychopathology that straddles moral and psychiatric domains. Grounded in discrete instances of trauma, PTSD represents an etiological outlier in an era of increased attention to the genetics of mental illness and a prime location for social constructivist analyses of mental illness. This examination of PTSD narratives—as voiced in qualitative interviews and focus groups with 50 veterans of the recent Iraq and Afghanistan wars living in New York City—attends to the processes through which veterans conceive and navigate PTSD symptoms and diagnoses. In so doing we highlight the social constructivist positions undertaken by veterans themselves as they varyingly challenge and internalize symptomology in dialogue with psychiatric definitions and the stigma associated with PTSD. Findings demonstrate the rejection of classic psychopathological etiology—in brain disease, for example—by many veterans as well as the complex balancing of benefit and stigma that veterans undertake when making decisions about presenting to psychiatric clinicians. Drawing on veterans’ accounts, we argue for greater cultural specificity in characterizing the diagnosis-seeking behavior of trauma survivors and a greater appreciation for the contradictions and compromise related to both acceptance and rejection of a mental health diagnosis.