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公众对心理健康和精神病学的讨论:瑞典报纸中的报道。

Public discourse on mental health and psychiatry: Representations in Swedish newspapers.

机构信息

Stockholm University, Sweden.

出版信息

Health (London). 2018 May;22(3):298-314. doi: 10.1177/1363459317693405. Epub 2017 Apr 12.

Abstract

Mass media plays a central role in shaping public discourse on health and illness. In order to examine media representations of mental health and expert knowledge in this field, two major Swedish daily newspapers from the year 2009 were qualitatively analysed. Drawing on the theory of social representations, the analysis focused on how issues concerning mental health and different perspectives are represented. The results show how the concept of mental illness is used in different and often taken-for-granted ways and how the distinction between normal and pathological is a central underlying question. Laypersons' perspectives are supplemented by views of professionals in the newspapers, where signs of confidence and dependence on expert knowledge are juxtaposed with critique and expressions of distrust. The newspaper discourse thus has salient argumentative features and the way that conflicts are made explicit and issues concerning authoritative knowledge are addressed indicates ambivalence towards the authoritative role of expert knowledge concerning mental health. In this way, the newspapers provide a complex epistemic context for everyday sense-making that can be assumed to have implications for relations between laypersons and professionals in the field of mental health.

摘要

大众媒体在塑造公众对健康和疾病的讨论方面发挥着核心作用。为了研究媒体对心理健康和该领域专业知识的呈现,我们对 2009 年瑞典的两份主要日报进行了定性分析。本研究基于社会表征理论,重点分析了有关心理健康的问题和不同观点是如何被呈现的。研究结果表明,精神疾病的概念以不同的、通常被视为理所当然的方式被使用,正常和异常之间的区别是一个核心的潜在问题。在报纸中,除了补充了民众的观点外,还补充了专业人士的观点,其中表现出对专业知识的信任和依赖,同时也存在批判和不信任的表达。因此,报纸的话语具有明显的争议性特征,对冲突的明确表达以及对权威知识问题的处理方式表明了对心理健康领域专业知识的权威性持矛盾态度。通过这种方式,报纸为日常意义构建提供了一个复杂的认识背景,可以假定这对心理健康领域的民众和专业人士之间的关系有影响。

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