Boschma Geertje
University of British Columbia, Vancouver, Canada.
Nurs Inq. 2007 Dec;14(4):266-78. doi: 10.1111/j.1440-1800.2007.00379.x.
Oral history makes a critical contribution in articulating the perspectives of people often overlooked in histories written from the standpoint of dominating class, gender, ethnic or professional groups. Using three interrelated approaches - life stories, oral history, and narrative analysis - this paper analyzes family responses to psychiatric care and mental illness in oral history interviews with family members who experienced mental illness themselves or within their family between 1930 and 1975. Interviews with three family members in Alberta, Canada are the primary focus. These stories provide an important avenue to understand the meaning and transformations of mental health-care from the point of view of families. Family members' stories reveal contradictory responses to the dominant cultural discourse. Using a performative framework of interpretation, the narratives reveal a complex interplay between medical, social and cultural conceptions of mental illness, deepening our understanding of its meaning. The history of mental health-care can be substantially enriched by the analysis of family members' stories, not only revealing the constructed nature of mental illness, but also illustrating the family as a mediating context in which the meaning of mental illness is negotiated.
口述历史在阐明那些在从统治阶级、性别、种族或职业群体的立场撰写的历史中经常被忽视的人们的观点方面发挥着至关重要的作用。本文运用生活故事、口述历史和叙事分析这三种相互关联的方法，对1930年至1975年间，那些自己或其家庭成员经历过精神疾病的家庭成员的口述历史访谈中家庭对精神科护理和精神疾病的反应进行了分析。主要聚焦于对加拿大艾伯塔省三名家庭成员的访谈。这些故事为从家庭角度理解精神卫生保健的意义和转变提供了一条重要途径。家庭成员的故事揭示了对主流文化话语的矛盾反应。运用一种表演性的解释框架，这些叙事揭示了精神疾病的医学、社会和文化观念之间复杂的相互作用，加深了我们对其意义的理解。对家庭成员故事的分析可以极大地丰富精神卫生保健的历史，不仅揭示精神疾病的建构本质，还能说明家庭是一个协商精神疾病意义的中介背景。
