University of New South Wales, Australia.
Health (London). 2011 Jul;15(4):417-36. doi: 10.1177/1363459310372511. Epub 2010 Dec 15.
This article reports on in-depth interviews with gay men about their experiences and understanding of depression. It is a key outcome of the collaboration between social researchers, general practitioners and community partners to investigate the management of depression in gay men in primary care settings. As part of the qualitative arm of the project in-depth interviews were conducted with 40 gay men in Sydney and Adelaide (Australia). The approach to discourse analysis is informed by Hallidayan systemic functional linguistics. Six constructions of depression were identified: (1) depression as a constellation of symptoms; (2) symptoms constructed as experience; (3) depression as agent; (4) depression as mental processes; (5) not meeting social expectations; and (6) engaging with psychiatric discourse: constructing alternative positions. Gay men draw on the biomedical model of depression as low mood and loss of pleasure as well as on constructions of depression in terms of social experience. The biomedical model of depression is, however, not positioned as unproblematic. Rather, gay men align or disalign with this discourse according to their own experience, thereby enacting diverse masculinities. Gay men's discourses of depression are inextricably linked to the community activism of gay men and their community organizations in the context of the HIV epidemic, as well as a synergy between gay men and their doctors.
本文报告了对男同性恋者进行的深入访谈,探讨了他们对抑郁的经历和理解。这是社会研究人员、全科医生和社区合作伙伴合作的成果之一,旨在调查初级保健环境中男同性恋者的抑郁管理。作为该项目定性部分的一部分,在悉尼和阿德莱德(澳大利亚)对 40 名男同性恋者进行了深入访谈。话语分析的方法受到韩礼德系统功能语言学的启发。确定了六种抑郁结构:(1)抑郁作为一组症状;(2)症状作为体验构建;(3)抑郁作为代理;(4)抑郁作为心理过程;(5)不符合社会期望;(6)参与精神病学话语:构建替代立场。男同性恋者不仅借鉴了抑郁的生物医学模型,即情绪低落和失去乐趣,还借鉴了社会经验方面的抑郁构建。然而,抑郁的生物医学模型并非没有问题。相反,男同性恋者根据自己的经验与这种话语保持一致或不一致,从而表现出不同的男子气概。男同性恋者的抑郁话语与艾滋病毒流行背景下男同性恋者的社区行动主义及其社区组织以及男同性恋者及其医生之间的协同作用密不可分。