Dissertation Research: (Un) Bounding DSM 300.3: Exploring the Negotiation of Obsessive Compulsive Disorder in Three Communities of Practice

论文研究:(Un)限制 DSM 300.3:探索三个实践社区中强迫症的谈判

基本信息

  • 批准号:
    0551640
  • 负责人:
  • 金额:
    $ 0.3万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
    Standard Grant
  • 财政年份:
    2006
  • 资助国家:
    美国
  • 起止时间:
    2006-05-15 至 2007-04-30
  • 项目状态:
    已结题

项目摘要

This Science and Society Social Studies of Science, Engineering, and Technology Program Dissertation Improvement Grant will provide research funding for a Ph.D student to help her complete her dissertation on the local negotiation of psychiatric diagnostic categories, in particular the discourses, technologies, and practices used in negotiations with obsessive compulsive disorder, and in turn, the novel subjectivities and social formations to which the category gives rise. Over the last twenty years the Diagnostic and Statistical Manual of Mental Disorders (DSM) -- a tool which provides standardized criteria for the diagnosis of psychiatric conditions -- has grown considerably in size and scope, a notable development since its definitions of mental disorders have become increasingly integral to the psychiatric conceptualization/management of mental suffering. While this trend has stimulated much research within the sociology of mental health, limited attention has been given to issues related to the category of obsessive compulsive disorder (OCD), even though OCD holds the reputation of being the fourth most common mental disorder found in the US population (Krochmalik & Menzies 2003: 18). OCD moreover is regarded as a chronic, poorly understood condition, meaning that, for many, dealing with a diagnosis signifies perpetual negotiation with the ambiguities inherent to this category. In addition to filling this substantive gap, this dissertation proposal seeks to extend technoscience studies of medical practices to the realm ofpsychiatric practices, redressing the shortage of empirical research on the use of [psychiatric] diagnoses (Manning 2001: 78). Examining local engagements with psychiatric diagnoses holds the potential to illuminate the utility of such categories, alternative modes of imagining and managing mental suffering (which, in the case of those who have received a psychiatric clinical diagnosis, often emerge through interactions with the official conceptualization), as well as lived experiences. This dissertation project proposes the following research question: How is obsessive compulsive disorder negotiated within and between three spaces through which it travels: the academic research laboratory, the clinic, and the lives of those who have been diagnosed as such? By examining negotiations within and between multiple communities, the dialectical processes through which the official ontology is reproduced, or alternative ontologies are imagined, can be studied. Funding for this proposal supports research expenses related to interviewing members of these communities, as well as travel expenses and fees required for participant-observation at the conferences and group therapy sessions attended by those who treat, and those diagnosed with, obsessive compulsive disorder. This dissertation makes a theoretical contribution to the sociology of mental health by opening a space for the study of the practices and material/discursive tools employed in the negotiation of psychiatric diagnostic categories; this study additionally seeks to prompt a return to qualitative empirical study of chronic mental disorders, which in the last few decades has been overshadowed by discursive studies of psychiatry and epidemiological studies of mental illness (Mulvaney 2001). Furthermore and as noted above, this study seeks to extend technoscience studies of medical practice to the field of psychiatric practice, thereby broadening the purview of this subdivision of science and technology studies. As for its broader impact, a critical, yet nondismissive, qualitative empirical study of a psychiatric category potentially will open a space for similar types of research, thereby (a) increasing the existing knowledge of psychiatric categories from the perspectives of those negotiating them, and (b) ultimately paving the way toward a greater collaboration between qualitative sociologists and mental health professionals, and thus potentially incorporating the results of empirical qualitative research into the design of clinical and/or community-based management practices.
这个科学与社会科学,工程和技术计划论文改进补助金将为博士生提供研究资金,帮助她完成关于精神病诊断类别的本地谈判的论文,特别是与强迫症谈判中使用的话语,技术和实践,反过来,这一范畴所产生的新的主体性和社会形态。在过去的二十年中,《精神疾病诊断和统计手册》-一个为精神疾病诊断提供标准化标准的工具-在规模和范围上都有了相当大的发展,这是一个值得注意的发展,因为它对精神疾病的定义已日益成为精神病学对精神痛苦的概念化/管理的组成部分。虽然这一趋势激发了心理健康社会学的大量研究,但对强迫症(OCD)相关问题的关注有限,尽管OCD是美国人口中第四大常见精神障碍(Krochmalik Menzies 2003:18)。此外,强迫症被认为是一种慢性的、知之甚少的疾病,这意味着,对许多人来说,处理诊断意味着与这一类别固有的模糊性进行永久的谈判。除了填补这一实质性的差距,本论文的建议,旨在扩大医疗实践的技术科学研究领域ofpsychiatric做法,纠正缺乏实证研究的使用[精神]诊断(曼宁2001:78)。检查当地参与精神病诊断有可能阐明这些类别的效用,想象和管理精神痛苦的替代模式(对于那些接受精神病临床诊断的人来说,通常是通过与官方概念化的互动而出现的),以及生活经验。本论文项目提出了以下研究问题:强迫症是如何在三个空间内和三个空间之间进行协商的:学术研究实验室,诊所和那些被诊断为强迫症的人的生活。通过研究多个社区内部和之间的谈判,可以研究官方本体论被复制或替代本体论被想象的辩证过程。该提案的资金支持与采访这些社区成员有关的研究费用,以及参加强迫症治疗者和诊断患有强迫症的人参加的会议和团体治疗会议所需的差旅费和观察费。本论文对精神健康社会学做出了理论贡献,为研究精神病诊断类别谈判中所采用的实践和材料/话语工具开辟了空间;本研究还试图促使对慢性精神障碍的定性实证研究回归,在过去的几十年里,精神病学的话语研究和精神疾病的流行病学研究使其黯然失色(Mulvaney 2001)。此外,如上所述,本研究旨在将医疗实践的技术科学研究扩展到精神病学实践领域,从而扩大科学和技术研究这一分支的范围。至于其更广泛的影响,一个关键的,但不轻视,定性的实证研究的精神病类别可能会打开一个空间,类似类型的研究,从而(a)增加现有的知识,精神病类别的角度,谈判他们,和(B)最终铺平道路,以更大的合作之间的定性社会学家和心理健康专业人员,从而有可能将经验定性研究的结果纳入临床和/或社区管理实践的设计中。

项目成果

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其他文献

吉治仁志 他: "トランスジェニックマウスによるTIMP-1の線維化促進機序"最新医学. 55. 1781-1787 (2000)
Hitoshi Yoshiji 等:“转基因小鼠中 TIMP-1 的促纤维化机制”现代医学 55. 1781-1787 (2000)。
  • DOI:
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    0
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LiDAR Implementations for Autonomous Vehicle Applications
  • DOI:
  • 发表时间:
    2021
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    0
  • 作者:
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生命分子工学・海洋生命工学研究室
生物分子工程/海洋生物技术实验室
  • DOI:
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    0
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吉治仁志 他: "イラスト医学&サイエンスシリーズ血管の分子医学"羊土社(渋谷正史編). 125 (2000)
Hitoshi Yoshiji 等人:“血管医学与科学系列分子医学图解”Yodosha(涉谷正志编辑)125(2000)。
  • DOI:
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    0
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Effect of manidipine hydrochloride,a calcium antagonist,on isoproterenol-induced left ventricular hypertrophy: "Yoshiyama,M.,Takeuchi,K.,Kim,S.,Hanatani,A.,Omura,T.,Toda,I.,Akioka,K.,Teragaki,M.,Iwao,H.and Yoshikawa,J." Jpn Circ J. 62(1). 47-52 (1998)
钙拮抗剂盐酸马尼地平对异丙肾上腺素引起的左心室肥厚的影响:“Yoshiyama,M.,Takeuchi,K.,Kim,S.,Hanatani,A.,Omura,T.,Toda,I.,Akioka,
  • DOI:
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    0
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