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健康研究中的自我民族志:成长的烦恼?

Autoethnography in Health Research: Growing Pains?

作者信息

Chang Heewon

机构信息

Eastern University, St. Davids, Pennsylvania, USA

出版信息

Qual Health Res. 2016 Mar;26(4):443-51. doi: 10.1177/1049732315627432.

DOI:10.1177/1049732315627432
PMID:26880757
Abstract

Autoethnography is gaining acceptance as a legitimate research method in health science research. The growing volume of published autoethnographies is indicative of this trend. After discussing the methodological tenents of this qualitative research method and its compatibility with health-related research, the author illustrates this trend with examples of published autoethnogrpahic books, theses, and journal articles. While celebrating the potential of autoethnography as a suitable health research method, the author critiques dominatly descriptive and evocative illness self-narratives that may evoke emontionally compelling responses from readers but offer insufficient sociocultural insights about the illness phenomenon. To identify a "desirable" autoethnography that provides not only a "thick description" of personal experiences but also a sociocultural interpration of such experiences, the author recommends both creators and consumers of autoethnography to ask five evaluative questions: (1) Does the autoethnography use authentic and trustworthy data?; (2) Does the autoethnography follow a reliable research process and show the process clearly?; (3) Does the autoethnography follow ethical steps to protect the rights of self and others presented and implicated in the autoethnography?; (4) Does the autoethnography analyze and interpret the sociocultural meaning of the author's personal experiences?; and (5) Does the autoethnography attempt to make a scholarly contribution with its conclusion and engagement of the existing literature?

摘要

在健康科学研究中,自民族志作为一种合法的研究方法正逐渐得到认可。已发表的自民族志数量不断增加就表明了这一趋势。在讨论了这种定性研究方法的方法论原则及其与健康相关研究的兼容性之后,作者通过已发表的自民族志书籍、论文和期刊文章的例子来说明这一趋势。在肯定自民族志作为一种合适的健康研究方法的潜力的同时,作者批评了那些主要是描述性和唤起情感的疾病自我叙述,这些叙述可能会引起读者情感上的强烈反应,但对疾病现象的社会文化洞察不足。为了确定一种“理想的”自民族志,它不仅能对个人经历进行“深度描述”,还能对这些经历进行社会文化解读,作者建议自民族志的创作者和读者都问五个评估问题:(1)自民族志是否使用了真实可靠的数据?(2)自民族志是否遵循了可靠的研究过程并清晰地展示了这个过程?(3)自民族志是否遵循道德步骤来保护自民族志中所呈现和涉及的自我及他人的权利?(4)自民族志是否分析和解读了作者个人经历的社会文化意义?(5)自民族志是否试图通过其结论和对现有文献的参与来做出学术贡献?

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