Stories of acceptance and resistance: illness identity construction in athletes (mis)diagnosed with a personality disorder

IF 8 2区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Qualitative Research in Sport Exercise and Health Pub Date : 2023-10-17 DOI:10.1080/2159676x.2023.2271014
Maria Luisa Fernanda Pereira Vargas, Anthony Papathomas, Florence-Emilie Kinnafick, Paul Rhodes
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Abstract

Mental illness identities are personally and socially constructed and impact psychological wellbeing. This study explored how athletes diagnosed with a personality disorder construct their illness identity and the various ways this impacted experience. Guided by an interpretivist paradigm, we recruited two powerlifters, Samantha and Alex, who engaged in a series of one-to-one interviews. In total, 11 hours of data was collected and analysed using dialogical narrative analysis. The personality disorder diagnosis had significant but divergent influences on each athlete. Samantha accepted the diagnosis, aligning to dominant medical understandings of mental illness and using these to construct renewed understandings of the self. In contrast, Alex told a counternarrative to dominant medical discourses of mental illness, which was characterised by stories of activism. Alex sought an alternate diagnosis, autism spectrum disorder (ASD), which better validated their experience. We discuss implications of this work for those operating in sport, such as the importance of allowing athletes to develop their own understandings of mental illness to allow for the construction of an authentic self.
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接纳与抗拒的故事:被误诊为人格障碍的运动员的疾病身份建构
精神疾病身份是个人和社会建构的,影响心理健康。本研究探讨了被诊断为人格障碍的运动员如何构建他们的疾病身份,以及这种疾病对经历的各种影响。在解释主义范式的指导下,我们招募了两名力量举重运动员,萨曼莎和亚历克斯,他们进行了一系列一对一的采访。总共收集了11个小时的数据,并使用对话叙事分析进行了分析。人格障碍诊断对各运动员有显著但有差异的影响。萨曼莎接受了诊断,与主流医学对精神疾病的理解保持一致,并利用这些理解重新构建对自我的理解。相比之下,亚历克斯讲述了一种与主流精神疾病医学话语相反的叙事,这种叙事以激进主义的故事为特征。亚历克斯寻求另一种诊断,自闭症谱系障碍(ASD),这更好地证实了他们的经历。我们讨论了这项工作对那些从事体育运动的人的影响,例如允许运动员发展自己对精神疾病的理解以允许构建真实自我的重要性。
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来源期刊
CiteScore
10.60
自引率
10.20%
发文量
36
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