School of English, University of Leeds, Leeds, UK.
Med Humanit. 2021 Mar;47(1):38-46. doi: 10.1136/medhum-2018-011543. Epub 2019 Feb 6.
This article is about the complicated intersections of mental illness, diagnosis and narrative in life writing. It analyses challenges posed to the authority of diagnosis-both as medical label and mode of reading-within two memoirs about mental illness and celebrates the ensuing literary innovation in each text. As such, this article is situated as part of the continuing move within the critical medical humanities to develop more sophisticated readings of illness narratives and emphasises the importance of the role of literary studies to achieve this aim. Borrowing from and expanding Margaret Price's concept of the counterdiagnostic as a tool that challenges a reader's urge to explain, clarify and contain a narrator with mental disabilities, I will read Susanna Kaysen's (1993) and Lauren Slater's (2001) as two texts that challenge the organising structures of medical authority as they are manifested in diagnostic processes. In so doing I will reflect on the work of illness narratives and the force of the diagnostic moment, understood as a violent misreading of the expressions of mental illness in texts. My readings of these memoirs demonstrate how the material locations and political aesthetics of counterdiagnosis undermine the limited figuration of narrative offered by much work in narrative medicine, and deconstruct diagnosis, both in a medical and literary capacity. Counterdiagnosis is, then, posited as a crucial means of further opening up the analysis of illness narratives, specifically those of mental distress.
这篇文章探讨了精神疾病、诊断和生活写作中的叙述之间复杂的交集。它分析了在两部关于精神疾病的回忆录中,诊断的权威性所面临的挑战——无论是作为医学标签还是阅读模式——并赞扬了每篇文本中随之而来的文学创新。因此,本文是批评性医学人文学科中持续发展更复杂的疾病叙事阅读的一部分,并强调了文学研究在实现这一目标中的重要作用。借鉴并扩展玛格丽特·普赖斯(Margaret Price)的反诊断概念,即作为一种工具,可以挑战读者解释、澄清和控制有精神障碍的叙述者的冲动,我将苏珊娜·凯森(Susanna Kaysen)的《(1993)》和劳伦·斯莱特(Lauren Slater)的《(2001)》作为两篇文本进行解读,它们挑战了医学权威的组织结构,这些结构在诊断过程中表现出来。这样做的同时,我将反思疾病叙事的作用和诊断时刻的力量,将其理解为对文本中精神疾病表现的暴力误读。我对这些回忆录的解读表明,反诊断的物质位置和政治美学如何破坏了叙事医学中许多作品提供的有限叙事形象,并从医学和文学的角度解构了诊断。因此,反诊断被认为是进一步开放疾病叙事分析的关键手段,特别是那些关于精神困扰的叙事。