“对我来说,‘正常’是不正常的”:重新思考中年ADHD诊断的医学和文化理想。

IF 1.5 4区 医学 Q2 ANTHROPOLOGY Culture Medicine and Psychiatry Pub Date : 2023-05-06 DOI:10.1007/s11013-023-09825-5
Lior Tal, Yehuda C Goodman
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引用次数: 0

摘要

根据精神病学,注意力缺陷/多动障碍(ADHD)是一种从生命早期开始的慢性疾病。精神病学提倡早期诊断,以防止在未经治疗的病例中可能出现的合并症。“晚期”诊断与可能危害患者生命和社会的各种危险有关。根据在以色列的实地调查,我们发现“中年多动症患者”(我们的调查对象这样称呼自己)表达了不同的经历,包括被诊断为成年人而不是儿童的一些优势。他们分享了在没有ADHD诊断的情况下体验“他者”的意义,并阐明了“晚”诊断如何将他们从医疗和社会期望中分离出来,并允许一些人培养一种独特的疾病主体性,发展个人知识,并发明治疗干预措施。对一些人来说,精神病学认为有害的时间框架是他们找到自己道路的跳板。这个案例让我们重新思考“经验时间”——当精神病学话语和主观叙事交织在一起时,时间和时间的意义。
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"For Me, 'Normality' is Not Normal": Rethinking Medical and Cultural Ideals of Midlife ADHD Diagnosis.

According to psychiatry, Attention-Deficit/Hyperactivity Disorder (ADHD) is a chronic condition beginning in early life. Psychiatry advocates for early diagnosis to prevent comorbidities that may emerge in untreated cases. "Late"-diagnosis is associated with various hazards that might harm patients' lives and society. Drawing on fieldwork in Israel, we found that 'midlife-ADHDers,' as our informants refer to themselves, express diverse experiences including some advantages of being diagnosed as adults rather than as children. They share what it means to experience "otherness" without an ADHD diagnosis and articulate how being diagnosed "late" detached them from medical and social expectations and allowed some to nurture a unique ill-subjectivity, develop personal knowledge, and invent therapeutic interventions. The timeframe that psychiatry conceives as harmful has been, for some, a springboard to find their own way. This case allows us to rethink 'experiential time'-the meanings of timing and time when psychiatric discourse and subjective narratives intertwine.

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来源期刊
CiteScore
3.70
自引率
5.90%
发文量
49
期刊介绍: Culture, Medicine, and Psychiatry is an international and interdisciplinary forum for the publication of work in three interrelated fields: medical and psychiatric anthropology, cross-cultural psychiatry, and related cross-societal and clinical epidemiological studies. The journal publishes original research, and theoretical papers based on original research, on all subjects in each of these fields. Interdisciplinary work which bridges anthropological and medical perspectives and methods which are clinically relevant are particularly welcome, as is research on the cultural context of normative and deviant behavior, including the anthropological, epidemiological and clinical aspects of the subject. Culture, Medicine, and Psychiatry also fosters systematic and wide-ranging examinations of the significance of culture in health care, including comparisons of how the concept of culture is operationalized in anthropological and medical disciplines. With the increasing emphasis on the cultural diversity of society, which finds its reflection in many facets of our day to day life, including health care, Culture, Medicine, and Psychiatry is required reading in anthropology, psychiatry and general health care libraries.
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