Hart B, Grace V M
Department of Feminist Studies, University of Canterbury, Christchurch, New Zealand.
Health Care Women Int. 2000 Apr-May;21(3):187-201. doi: 10.1080/073993300245258.
Chronic fatigue syndrome (CFS) is a debilitating condition. Approximately 75% of sufferers are women. The etiology of CFS is debated, but remains inconclusive. "Fatigue" is ill defined and conceptually problematic. The international multidisciplinary literature on CFS reveals a paucity of studies on women. Qualitative research to analyze women's discourses on CFS is virtually absent. Eleven New Zealand women of European descent with experience of CFS were interviewed in depth. Within the complex facets of CFS, this article reports specifically on an analysis of discourses on "fatigue." The predominant theme that emerged was that fatigue is articulated as "lack" or absence, which is not representable as an identifiable entity in biomedical terms. Parallels with chronic pain are briefly drawn. We conclude that approaches to CFS must respond to the diverse and complex constructions of the experience of fatigue evident in women's narratives.
慢性疲劳综合征（CFS）是一种使人衰弱的病症。大约75%的患者为女性。CFS的病因存在争议，但尚无定论。“疲劳”的定义不明确且在概念上存在问题。关于CFS的国际多学科文献显示，针对女性的研究较少。几乎没有定性研究来分析女性对CFS的论述。对11名有CFS经历的新西兰欧洲裔女性进行了深入访谈。在CFS的复杂层面中，本文专门报告了对“疲劳”论述的分析。出现的主要主题是，疲劳被表述为“缺乏”或缺失，这在生物医学术语中无法作为一个可识别的实体来呈现。文中简要提及了与慢性疼痛的相似之处。我们得出结论，针对CFS的治疗方法必须回应女性叙述中明显存在的对疲劳体验的多样且复杂的建构。
