The Open University, Milton Keynes, MK7 6AA, UK.
Health (London). 2011 Sep;15(5):533-49. doi: 10.1177/1363459310389626. Epub 2010 Dec 20.
This article takes a discursive approach to examine how Attention Deficit Hyperactivity Disorder has been represented and debated in UK newspapers in the last decade. Two repertoires of ADHD were identified as the biological and the psychosocial. Subject positions such as problem child, abnormal or ordinary naughty child and ineffectual or neglectful parents are embedded in these alternative versions of ADHD. The biological repertoire justifies and encourages drug treatment for problem children while the psychosocial repertoire makes available the subject position of ordinary naughty child and supports moral judgements about poor parenting practices in a 'sick society'. Such representations have challenged the media medicalization of ADHD common in a previous decade. Although the biological and the psychosocial repertoires are competing explanations for ADHD, they both perform a common function in representing families as in need of regulation.
本文采用话语分析的方法，考察了在过去十年中，英国报纸是如何报道和争论注意力缺陷多动障碍（ADHD）的。研究发现存在两种 ADHD 表现模式，即生物学模式和心理社会模式。在这些 ADHD 的不同表现形式中，存在一些固定的主体位置，如问题儿童、异常或普通顽皮儿童以及无效或疏忽的父母。生物学模式为问题儿童的药物治疗提供了依据和支持，而心理社会模式则为普通顽皮儿童提供了主体位置，并支持对“病态社会”中不良育儿行为的道德评判。这种报道方式对 ADHD 在前十年中被媒体普遍医学化的现象提出了挑战。尽管生物学模式和心理社会模式是 ADHD 的两种竞争性解释，但它们在将家庭描述为需要监管方面发挥了共同的作用。
