Department of Sociology and Cultural Anthropology, University of Amsterdam, The Netherlands.
Sociol Health Illn. 2013 Jan;35(1):49-65. doi: 10.1111/j.1467-9566.2012.01477.x. Epub 2012 Jun 27.
How do people describe their health? How do their descriptions relate to public definitions? This article focuses on adult attention deficit hyperactivity disorder (ADHD). We look at Dutch adults who adopt the ADHD label and ask: which discourses structure their descriptions of ADHD? How do these relate to the dominant public discourse on ADHD? Do people use, for example, neurobiological explanations of ADHD? The research makes use of Q-methodology, which combines a discursive relational approach with factor analysis. We examine five different personal discourses that partly differ from the public discourse. People borrow neurobiological, psychological, sociological and even holistic arguments from public discourse to come up with a distinct set of discourses. Neurobiology resonates among adults with ADHD but does not dominate their thinking. Contrary to our expectation, this supports reflexivity instead of discipline theory.
人们如何描述自己的健康状况？他们的描述与公众定义有何关系？本文以成年注意缺陷多动障碍（ADHD）为例，研究那些采用 ADHD 标签的荷兰成年人，并提出以下问题：哪些话语结构了他们对 ADHD 的描述？这些描述与 ADHD 的主导公众话语有何关联？例如，人们是否使用 ADHD 的神经生物学解释？该研究采用了 Q 方法学，该方法将话语关系方法与因子分析相结合。我们研究了五个不同的个人话语，这些话语部分与公众话语不同。人们从公众话语中借用神经生物学、心理学、社会学甚至整体论的论点，提出了一套独特的话语。神经生物学在 ADHD 成年人中引起共鸣，但并未主导他们的思维。与我们的预期相反，这支持了反思性，而不是纪律理论。
