Shaping bulimia: an ethnographic analysis

塑造贪食症：人种学分析

• 批准号: 1916673
• 金额: --
• 依托单位: King's College London
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2017
• 资助国家: 英国
• 起止时间: 2017 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-1916673
• 关键词: Shaping; bulimia; ethnographic; analysis

This study seeks to investigate the shaping and conceptualisation of the contemporary bulimic subject. It aims to answer the question: Who and what do we designate in the depiction, treatment, and portrayal of bulimia nervosa? Who is the bulimic, and how is her behaviour conceptualised, framed, and explained? The importance of these questions lies in the changing ways in which patient responsibility is taking shape today; new forms of treatment such as "shared decision-making" presuppose a responsible, "active" patient. Meanwhile, novel theoretical models are being developed in the field of bulimia specifically. New therapies, aetiologies and clinical explanations have a tremendous influence on the role the patient is expected to play, but also the experience of the illness. Moreover, changes in psychiatric treatment have consequences in- and outside the context of psychiatry only. How, where, and by whom those living under the description of a psychiatric diagnosis are treated is related to how we think about health, illness and its organisation in society. Critical, ethnographic research into this field is needed: as psychiatric practices are related to ideas about health and illness, personhood and subjectivity, but also responsibility and autonomy. To analyse these questions, I propose an analysis of two leading UK research centres, that are both involved in the design and development of novel treatment models. Both these research units have developed contrasting models with regard to what it means to be bulimic, and what treatment is required. Analysing these models is vital, not only because it will provide us with insight into how bulimia is conceptualised, treated and depicted in the UK today, but because these models differ tremendously with regard to how the illness itself is defined, the patient's role in their recovery, and the responsibility they have in their treatment. I aim to gain insight into the underlying premises of what the "illness" bulimia consists of (is it a behavioural, neurological, social deficit). This means I will also analyse how progress and recovery are defined.These are issues that do not only touch upon bulimia and its treatment, but also changes affecting the organisation and structure of psychiatric care in Western Europe. Novel forms of treatment and therapy necessarily impact the relation between the patient and their illness, but also changes the practice of medical expertise and organisation of psychiatric institutions A part of this study consists of a discourse analysis of recovery blogs, which are written by women who practiced bulimia. In doing so, I aim to include the voices of those who had been living under the description of bulimia, and how they conceptualise the experience and treatment of the disease. This will also help me to gain insight into how (ex)patients relate to their illness, and how they picture and portray recovery, or the lack thereof.

本研究旨在探讨当代暴食症主题的形成和概念化。它的目的是回答这个问题：谁和什么我们指定的描述，治疗和神经性贪食症的写照？谁是暴食症患者，她的行为是如何概念化、框架化和解释的？ 这些问题的重要性在于，患者责任的形成方式正在发生变化;新的治疗方式，如“共同决策”，以负责任的“积极”患者为前提。与此同时，新的理论模型正在开发领域的贪食症。新的治疗方法、病因学和临床解释对患者预期发挥的作用以及疾病的经历产生了巨大的影响。此外，精神病治疗的变化只在精神病学范围内和范围外产生影响。如何，在哪里，以及由谁来治疗那些生活在精神病诊断描述下的人，与我们如何看待健康，疾病及其在社会中的组织有关。对这一领域的批判性的人种学研究是必要的：因为精神病学的实践与健康和疾病、人格和主观性的观念有关，而且与责任和自主性有关。为了分析这些问题，我提出了一个分析两个领先的英国研究中心，都参与了新的治疗模式的设计和开发。这两个研究单位都开发了关于暴食症意味着什么以及需要什么治疗的对比模型。分析这些模型是至关重要的，不仅因为它将为我们提供洞察如何贪食症是概念化的，治疗和描绘在英国今天，但因为这些模型在疾病本身的定义，患者的角色方面有很大的不同在他们的恢复，以及他们在治疗中的责任。我的目标是深入了解“疾病”暴食症的基本前提（它是行为，神经，社会缺陷）。这意味着我也将分析如何定义进展和恢复。这些问题不仅涉及贪食症及其治疗，而且还影响西欧精神病护理的组织和结构。新形式的治疗和疗法必然会影响病人和他们的疾病之间的关系，但也改变了医疗专业知识和精神病机构的组织的做法。本研究的一部分包括恢复博客的话语分析，这是由妇女谁实行贪食症。在这样做的过程中，我的目标是纳入那些生活在暴食症描述下的人的声音，以及他们如何概念化这种疾病的经历和治疗。这也将帮助我深入了解（前）患者如何与他们的疾病相关，以及他们如何描绘和描绘康复，或缺乏康复。