Kokanovic Renata, Bendelow Gillian, Philip Brigid
School of Political and Social Inquiry, Monash University, Melbourne, AustraliaSchool of Law Politics and Sociology, University of Sussex, Brighton, UKDepartment of Human Services, Melbourne, Australia.
Sociol Health Illn. 2013 Mar;35(3):377-90. doi: 10.1111/j.1467-9566.2012.01486.x. Epub 2012 Aug 16.
The diagnosis of depression in the clinical context is extremely controversial and is subject to criticism of over-medicalisation and pharmaceuticalisation. Depression can be conceptualised across the entire spectrum of lay and medical belief, from the 'normal' highs and lows of the human condition to its inclusion in the dominant Diagnostic and Statistical Manual of Mental Disorders classificatory system, as a form of serious mental illness. In this context, a better understanding of how people describe, experience, negotiate and participate in the process of diagnosis is needed. This article draws on qualitative interviews to explore lay accounts of being diagnosed with depression. The findings reveal that lay accounts of depression vacillate in and out of the medicalised discourse of depression, highlighting the limitations of the biomedical approach to diagnosis and treatment.
在临床环境中，抑郁症的诊断极具争议，且受到过度医学化和药物化的批评。抑郁症可以在从人类状况的“正常”起伏到其被纳入占主导地位的《精神疾病诊断与统计手册》分类系统（作为一种严重精神疾病形式）的整个外行和医学认知范围内进行概念化。在这种背景下，需要更好地理解人们如何描述、体验、协商并参与诊断过程。本文利用定性访谈来探索外行对被诊断为抑郁症的描述。研究结果表明，外行对抑郁症的描述在抑郁症的医学化话语中时进时出，凸显了生物医学诊断和治疗方法的局限性。
