Batstra Laura, van Roy A C Marieke, Thoutenhoofd Ernst D
Department of Child and Family Welfare, The University of Groningen, Groningen, Netherlands.
Department of Education and Special Education, The University of Gothenburg, Gothenburg, Sweden.
Front Sociol. 2021 Dec 8;6:781057. doi: 10.3389/fsoc.2021.781057. eCollection 2021.
Psychiatrization not only affects adults. Ever more children in Western countries are being diagnosed with a mental disorder of behavior, such as ADHD. Children may often be labelled with the best intentions, for example in order to be able to provide them with suitable care and guidance. However, this labelling can have exclusionary effects and often entails the consequence that important discussion about contextual factors that give rise to (the perception of) unwelcome behavior or academic underperformance rarely, if at all, takes place. In this article we contend that although children are of central concern to schools and the design of pupils' education, it is important not to make pupils the sole owner of problems that arise. It is therefore high time that a far more critical normative stance towards inclusive education is taken, in which the presently widespread biomedical approach is met with a school community response that focuses not on the nature of individual disorders but on the special need for additional capacity that and have in meeting (perceived) deviant behaviors and emotions and/or academic underperformance. We argue that teaching should not set out to remedy individual diagnoses, but that teachers should be supported to extend their professional competence to the benefit of all pupils.
精神疾病化不仅影响成年人。西方国家越来越多的儿童被诊断患有行为方面的精神障碍,如注意力缺陷多动障碍(ADHD)。给儿童贴标签往往是出于善意,比如为了能够为他们提供合适的照料和指导。然而,这种贴标签可能会产生排斥效应,并且常常导致这样的结果:很少(甚至根本没有)对导致(被认为的)不受欢迎行为或学业成绩不佳的背景因素进行重要讨论。在本文中,我们认为,尽管儿童是学校和学生教育设计的核心关注点,但重要的是不要让学生成为出现问题的唯一责任人。因此,早就应该对全纳教育采取一种更为批判性的规范立场,在这种立场中,目前普遍存在的生物医学方法应得到学校社区的回应,这种回应关注的不是个体障碍的性质,而是学校社区在应对(被认为的)异常行为和情绪以及/或者学业成绩不佳方面所特别需要的额外能力。我们认为,教学不应旨在纠正个体诊断结果,而应支持教师扩展其专业能力,以造福所有学生。