Department of Community Medicine, General Practice Research Unit, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Faculty of Health Sciences, Department of Psychology, UiT The Arctic University of Norway, Tromsø, Norway.
Anthropol Med. 2020 Dec;27(4):412-427. doi: 10.1080/13648470.2020.1719456. Epub 2020 Jul 23.
Little is known about the perspectives of young people suffering from medically unexplained symptoms. This study aims to explore the experiences and strategies of young Norwegians related to incipient and persistent health complaints affecting everyday life functioning. The study draws on field notes, video material and interview transcripts from a multi-sited ethnographic study of healthcare services and select schools in a small Norwegian town between 2015 and 2016. A central theme is the emphasis upon social and existential constraints seemingly framed by a social imaginary of youth rather than a medical imaginary, and their active engagements to 'fix' their lives through what we identify as two main modalities of self-care. Navigating temporal and relational aspects of sociocultural configurations of youth in their social environments, they imagine and enact alternative qualifying positions better adapted to constraints, personal preferences and needs. Our findings may add to understandings of the needs and strategies of young sufferers of medically unexplained symptoms, relevant for health and social care encounters.
对于患有医学无法解释症状的年轻人的观点，人们知之甚少。本研究旨在探讨年轻挪威人在日常生活功能受到影响的初期和持续健康问题方面的经历和应对策略。本研究借鉴了 2015 年至 2016 年间在挪威一个小镇的医疗服务和精选学校进行的多地点民族志研究的现场记录、视频材料和访谈记录。一个核心主题是强调社会和存在的限制，这些限制似乎是由青年的社会想象而不是医学想象所构成的，以及他们通过我们称之为自我保健的两种主要方式来“修复”生活的积极参与。他们在社会环境中驾驭青年社会文化结构的时间和关系方面，想象并实施了更适合限制、个人偏好和需求的替代资格定位。我们的研究结果可能有助于理解医学无法解释症状的年轻患者的需求和应对策略，这对于卫生和社会保健服务很重要。
