Doctoral Dissertation Research: How Problem Gambling is Medicalized

博士论文研究：问题赌博如何医学化

• 批准号: 1131382
• 负责人: Linda Burton
• 金额: $ 0.97万
• 依托单位: Duke University
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-08-01 至 2014-08-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1131382&HistoricalAwards=false
• 关键词: Doctoral; Dissertation; Research; How; Problem

SES-1131382Linda BurtonRose BuckelewDuke UniversityDoctoral Dissertation Research: How Problem Gambling is Medicalized AbstractThis study will provide insight into the mechanisms that shape the medicalization of problem gambling. It will examine how counselors construct racial and gender differences in problem gambling behavior. It will also examine the ways counselors construct and understand race and gender in their everyday discussions of clients and client behavior. Using Conrad's (1992) definition of medicalization, the process by which social problems are redefined as medical problems mandating the intervention and control of licensed medical professionals, this project will demonstrate how social and historical factors shape the construction of illness. And it will bridge the theoretical work on medicalization with research on the "policy making" of street level bureaucrats (Lipsky 1980), and on clinical decision-making processes (Hays et al. 2010, Gushue 2004). Data collection through participant observation and interviews will address three themes: (1) the types of racial and gender discourses counselors use when discussing clients, (2) the kinds of legitimating evidence counsellors provide in these discourses, and (3) the meanings counselors attach to the differences which have been constructed. Data collection strategies include interviews with counselors and managers of problem gambling programs and a multi-site ethnographic study of gambling addiction training workshops, conferences, and call centers. Very few qualitative studies closely examine the role of counselors and managers in shaping definitions of mental illness and even fewer seriously examine their subjectivity. Combining interviews and ethnographic approaches, this study will advance understanding of the complex processes of medicalization.

Linda BurtonRose BuckelewDuke University博士论文研究：问题赌博是如何医学化的摘要这项研究将为形成问题赌博医学化的机制提供洞察。它将考察咨询师如何在问题赌博行为中构建种族和性别差异。它还将考察咨询师在他们对客户和客户行为的日常讨论中构建和理解种族和性别的方式。利用康拉德(1992)对医学化的定义，社会问题被重新定义为要求有执照的医务人员干预和控制的医疗问题的过程，这个项目将展示社会和历史因素如何塑造疾病的结构。它将在医学化理论工作与街头官僚的“政策制定”研究(Lipsky 1980)和临床决策过程的研究(Hays等人)之间架起桥梁。2010年，古树2004年)。通过参与者观察和访谈收集的数据将涉及三个主题：(1)辅导员在讨论来访者时使用的种族和性别话语的类型，(2)辅导员在这些语篇中提供的合法证据的类型，以及(3)辅导员对已经构建的差异的意义。数据收集策略包括对问题赌博项目的顾问和经理的采访，以及对赌博成瘾培训讲习班、会议和呼叫中心的多地点人种学研究。很少有定性研究仔细研究心理咨询师和管理者在塑造精神疾病定义方面的作用，更没有人认真研究他们的主观性。结合访谈和民族志方法，这项研究将促进对医学化复杂过程的理解。