Tayside Institute for Health Studies, University of Abertay Dundee, Dundee, Scotland, UK.
Health (London). 2010 Jan;14(1):75-90. doi: 10.1177/1363459309347483.
This article examines the ways in which sufferers talk about early stroke and the effects this chronic condition has on identity. Traditional research into chronic illness has largely used medical, psychiatric or cognitive models. We adopt a social constructionist perspective and use a discourse analytic methodology to study data collected via focus group interaction. Analysis of the data collected shows that participants displayed sensitivity about having acquired a potentially 'damaged' sense of self by mitigating negative features of their experiences. Participants also attended to the issue of whether their accounts were persuasive or believable. Some carers were present in these discussions. As a consequence, participants who had suffered a stroke displayed sensitivity to the way that carers might respond to mitigation of the negative aspects of stroke.
本文探讨了患者谈论早期中风的方式,以及这种慢性疾病对身份认同的影响。传统的慢性疾病研究主要采用医学、精神医学或认知模式。我们采用社会建构主义的视角,使用话语分析方法研究通过焦点小组互动收集的数据。对收集到的数据进行分析表明,参与者通过减轻自身经历的负面特征,对获得潜在的“受损”自我意识表现出敏感性。参与者还关注他们的叙述是否有说服力或可信。在这些讨论中,一些护理人员在场。因此,中风患者表现出对护理人员对中风负面方面的缓解方式的敏感性。