Jutel Annemarie, Russell Ginny
Te Herenga Waka | Victoria University of Wellington, New Zealand.
University of Exeter, UK.
Health (London). 2023 Sep;27(5):886-902. doi: 10.1177/13634593211060759. Epub 2021 Nov 25.
Diagnosis is a profoundly social phenomenon which, while putatively identifying disease entities, also provides insights into how societies understand and explain health, illness and deviance. In this paper, we explore how diagnosis becomes part of popular culture through its use in many non-clinical settings. From historical diagnosis of long-deceased public personalities to media diagnoses of prominent politicians and even diagnostic analysis of fictitious characters, the diagnosis does meaningful social work, explaining diversity and legitimising deviance in the popular imagination. We discuss a range of diagnostic approaches from paleopathography to fictopathography, which all take place outside of the clinic. Through pathography, diagnosis creeps into widespread and everyday domains it has not occupied previously, performing medicalisation through popularisation. We describe how these pathographies capture, not the disorders of historical or fictitious figures, rather, the anxieties of a contemporary society, eager to explain deviance in ways that helps to make sense of the world, past, present and imaginary.
诊断是一种深刻的社会现象,它在假定识别疾病实体的同时,也能让我们洞察社会如何理解和解释健康、疾病及偏差行为。在本文中,我们探讨诊断如何通过在许多非临床环境中的应用而成为流行文化的一部分。从对早已离世的公众人物的历史诊断,到对知名政治家的媒体诊断,甚至对虚构角色的诊断分析,诊断发挥着有意义的社会作用,在大众想象中解释多样性并使偏差行为合法化。我们讨论了一系列从古病理学诊断到虚构病理学诊断的方法,这些都发生在临床之外。通过病例记录,诊断逐渐渗透到它以前未曾涉足的广泛日常领域,通过普及实现医学化。我们描述了这些病例记录如何捕捉到的并非历史人物或虚构人物的病症,而是当代社会的焦虑,即渴望以有助于理解过去、现在和想象世界的方式来解释偏差行为。