Holman Daniel
Department of Public Health and Primary Care, University of Cambridge, UK.
Sociol Health Illn. 2014 May;36(4):531-48. doi: 10.1111/1467-9566.12082.
Talking treatments are underused in England by working-class people: their higher rates of common mental disorders compared with their middle-class counterparts are not matched by an increased use of these treatments. Given that,overall, talking treatments are effective in tackling depression and anxiety,understanding their underuse is important. Based upon semi-structured interview data I argue that a framework centred on individuals' cultural dispositions towards treatment can help with this task. Following Bourdieu, such dispositions can be traced to social structural conditioning factors, together comprising the habitus. Four key dispositions emerge from the data: verbalisation and introspection, impetus for emotional health, relation to medical authority and practical orientation to the future. In turn, these dispositions are rooted in the material, health, occupational and educational characteristics of working-class circumstances. Tracing these circumstances offers suggestions for increasing the use of this service.
在英国，工人阶级人群对谈话治疗的使用率较低：与中产阶级相比，他们患常见精神障碍的比例更高，但在使用这些治疗方法方面却没有相应增加。鉴于总体而言，谈话治疗在治疗抑郁症和焦虑症方面是有效的，了解其未得到充分利用的情况很重要。基于半结构化访谈数据，我认为以个人对治疗的文化倾向为中心的框架有助于完成这项任务。遵循布迪厄的观点，这种倾向可以追溯到社会结构制约因素，这些因素共同构成了惯习。数据中出现了四个关键倾向：言语表达与内省、促进情绪健康的动力、与医疗权威的关系以及对未来的实际取向。反过来，这些倾向又植根于工人阶级环境的物质、健康、职业和教育特征。追溯这些情况为增加这项服务的使用提供了建议。
