School of Psychology, 1066University of Adelaide, Adelaide, SA, Australia.
Qual Health Res. 2022 Jun;32(7):1185-1196. doi: 10.1177/10497323221102240. Epub 2022 May 18.
Depression has been the subject of increased awareness and concern in Australia, but there has been little research into how depression is constructed on mental health websites, which have become a major resource for mental health information among the general public. In this study, critical discursive psychology was employed to analyse the informational content of eight major Australian mental health websites concerning depression. Four interpretative repertoires were identified - a biomedical, a self-optimization, a normal-natural and a societal-structural repertoire. The biomedical and self-optimization repertoires were the most prevalent, constructing depression as an illness within an individual occurring as a result of a biological or psychological deficit. Whilst previous studies have identified the predominance of a biomedical repertoire of depression on official websites, this study highlights the growing prominence of a self-optimization repertoire alongside the biomedical. Whilst it appeared that the aim of the websites was to challenge stigma and encourage help-seeking, it is argued that this way of understanding depression may have counter-productive effects in that the problem is located within the individual rather than with society, and individuals may be positioned as responsible for managing their own mental health, under the guidance of experts. The implications of understanding depression in this way, and not in alternative ways, are discussed.
在澳大利亚,抑郁症已经成为人们日益关注的话题,但对于心理健康网站如何构建抑郁症这一问题的研究却很少,而这些网站已经成为公众获取心理健康信息的主要资源。在这项研究中,我们采用批判话语心理学的方法,分析了澳大利亚 8 个主要心理健康网站上有关抑郁症的信息内容。我们确定了四个解释性语料库——生物医学、自我优化、正常自然和社会结构语料库。生物医学和自我优化语料库最为常见,将抑郁症构建为一种个体疾病,其发生是由于生物或心理缺陷所致。虽然之前的研究已经确定了官方网站上以生物医学为主要的抑郁症解释语料库,但本研究强调了自我优化语料库在生物医学语料库旁边的日益突出地位。尽管这些网站的目的似乎是挑战污名化并鼓励寻求帮助,但有人认为,这种理解抑郁症的方式可能会产生适得其反的效果,因为问题不在于社会,而在于个体内部,而且个体可能会被置于在专家的指导下,负责管理自己的心理健康。我们讨论了以这种方式而不是以其他方式理解抑郁症的影响。