Emiliussen Jakob, Morrison Alastair David
University of Southern Denmark, Odense, Denmark.
Nordisk Alkohol Nark. 2017 Aug;34(4):314-329. doi: 10.1177/1455072517709654. Epub 2017 Sep 14.
Alcohol ranks as a major risk factor for health-related harm and mortality. Older males who encounter alcohol problems late in life are an under-studied part of the affected population. This article seeks to broaden our understanding of this group by combining empirical data with humanistic cultural analysis. Specifically, it seeks to show how the desire to cope alone can be linked to generationally specific constructions of hegemonic masculinity.
Clinical empirical methods are fused here with those of literary analysis. The subjects which the clinical researcher chooses for scrutiny are different from those most natural to literary study, yet the interpretive approaches of qualitative phenomenological investigation and literary close reading are in fact quite similar, and we argue that new knowledge can be generated by evaluating cultural texts alongside the testimony of phenomenological research subjects.
Our findings illustrate a thematic connection between subject testimony and literary texts from the relevant historical period. In the sources we compared - a qualitative study conducted in Denmark and a British novel, Kingsley Amis's 1954 - we found a strong link between the values of masculinity and the values of independence. Older men's resistance of institutional treatment for alcohol problems has motivations which go beyond the desire on outside aid, a desire which may apply to any illness. As helps us show, alcohol use functions for men of a certain generation as a symbol of rebellion against institutions, and having institutions play a dominant role in their alcohol cessation may create resistance in these men.
酒精是导致健康损害和死亡的主要风险因素之一。晚年出现酒精问题的老年男性是受影响人群中一个研究不足的部分。本文旨在通过将实证数据与人文文化分析相结合,拓宽我们对这一群体的理解。具体而言,它试图展示独自应对的愿望如何与霸权男性气质的代际特定建构联系起来。
临床实证方法与文学分析方法在此融合。临床研究人员选择进行审视的主题与文学研究中最自然的主题不同,但定性现象学调查和文学精读的解释方法实际上非常相似,并且我们认为通过将文化文本与现象学研究对象的证词一起评估,可以产生新的知识。
我们的研究结果说明了主题证词与相关历史时期文学文本之间的主题联系。在我们比较的资料来源中——丹麦进行的一项定性研究和英国小说金斯利·艾米斯1954年的作品——我们发现男性气质价值观与独立价值观之间存在紧密联系。老年男性对酒精问题的机构治疗的抵制有其动机,这些动机不仅仅是对外部帮助的渴望,而这种渴望可能适用于任何疾病。正如我们所表明的,饮酒对特定一代男性来说是对机构的一种反抗象征,让机构在他们戒酒过程中发挥主导作用可能会引起这些男性的抵触情绪。