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“我宁愿不服百忧解”:抗抑郁药物消费者叙述中的污名化与商品化

'I'd rather not take Prozac': stigma and commodification in antidepressant consumer narratives.

作者信息

Smardon Regina

机构信息

University of Virginia, Charlottesville, VA 22904-4816, USA.

出版信息

Health (London). 2008 Jan;12(1):67-86. doi: 10.1177/1363459307083698.

Abstract

This article explores the idea that narrative is the primary vehicle through which antidepressant consumers negotiate their sense of identity and reality. Antidepressant consumers represent a unique consumer culture because of the stigma that society attaches to mental illness. Recent media attention, including direct to consumer (DTC) advertising, appears to decrease the stigma surrounding antidepressant use while at the same time commodifying and branding them for mass consumption. Antidepressant consumers must negotiate the threat of stigma and the threat of commodification through the process of constructing narratives. Exploring the narrative process of identity negotiation reveals how the interconnected cultural processes of stigma and commodification are undergoing historical shifts. Among these shifts are the intensification of branding and an expansion of consumer culture. Implications for health promotion and further research are discussed.

摘要

本文探讨了这样一种观点,即叙事是抗抑郁药使用者协商其身份认同和现实感的主要媒介。由于社会对精神疾病的污名化,抗抑郁药使用者代表了一种独特的消费文化。近期包括直接面向消费者(DTC)广告在内的媒体关注,似乎在减少围绕抗抑郁药使用的污名,同时将其商品化并打造品牌以进行大规模消费。抗抑郁药使用者必须通过构建叙事的过程来应对污名化和商品化的威胁。探索身份协商的叙事过程揭示了污名化和商品化这两个相互关联的文化过程是如何经历历史转变的。这些转变包括品牌化的强化和消费文化的扩张。文中还讨论了对健康促进的影响及进一步的研究方向。

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