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“哦,我只是有点虚弱,因为我要去看医生”:年轻男性谈论自行转诊至初级保健服务。

'Oh, I'm just, you know, a little bit weak because I'm going to the doctor's': young men's talk of self-referral to primary healthcare services.

机构信息

Department of Psychology and Mental Health, Staffordshire University, Stoke on Trent, UK.

出版信息

Psychol Health. 2012;27(8):898-915. doi: 10.1080/08870446.2011.631542. Epub 2011 Dec 12.

DOI:10.1080/08870446.2011.631542
PMID:22149462
Abstract

Young men visit their general practitioner (GP) less frequently than young women and tend to utilise primary healthcare services reluctantly. This research aimed to explore the ways young men used their talk to make sense of their own masculinity in the context of their healthcare visits, and to explore the ways they used their talk to make sense of those visits in terms of multiple masculinities and gendered behaviours. This was an important area for research as previous work has not focused on young men. Interviews, lasting approximately 1 h, were conducted by a male researcher with seven men aged 22-33. Questions related to visiting the GP, attention to healthcare and help-seeking behaviours. These were analysed, using an eclectic approach informed by Foucauldian discourse analysis and discursive psychology. Participants subscribed to a hegemonic masculinity that constructed men as strong, stoical and reluctant to seek help. However, at times, these men negotiated and disengaged from such discourses. Women were constructed as immediately responding to symptoms and seeking help for minor illnesses. In contrast to traditional masculinity, the young men drew upon discourses of vulnerability and embarrassment. These results are discussed in relation to their implications for Health Psychology.

摘要

年轻男性去看全科医生的频率比年轻女性低,而且往往不情愿地利用初级保健服务。这项研究旨在探讨年轻男性在医疗保健访问背景下,通过谈话来理解自己的男子气概的方式,以及他们如何通过谈话来理解这些访问的多种男子气概和性别行为。这是一个重要的研究领域,因为之前的工作没有关注年轻男性。一名男性研究人员对 7 名年龄在 22 至 33 岁的男性进行了大约 1 小时的访谈。问题涉及看全科医生、关注医疗保健和寻求帮助的行为。这些问题使用了一种折衷的方法进行分析,这种方法受到福柯的话语分析和话语心理学的启发。参与者认同一种霸权男子气概,将男性描述为坚强、坚忍和不愿意寻求帮助。然而,有时这些男性会对这些话语进行协商和脱离。女性被描述为对症状做出立即反应,并为轻微疾病寻求帮助。与传统的男子气概相反,这些年轻人借鉴了脆弱和尴尬的话语。这些结果与健康心理学的意义有关。

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