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通过在儿童/青少年疼痛诊所对症状意义的协商来定位父母的角色。

Positioning of parents' through negotiations of symptoms' meaning at a pain clinic for children/young people.

作者信息

Laursen Sara Seerup

机构信息

The Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense C, Denmark.

出版信息

Anthropol Med. 2024 Dec;31(4):355-370. doi: 10.1080/13648470.2024.2373013. Epub 2024 Sep 2.

Abstract

This paper traces how the meaning of symptoms and the positioning of are entangled and discursively constructed in therapeutic conversations between parents and therapists at a pain clinic for children and young people (age 8 to 18) with recurrent or chronic pain or other somatic symptoms with no established biophysical pathology. Based on data material from an ethnographic fieldwork it is examined how the selves of respectively children/young people and their parents are discursively positioned in conversational encounters and the role positioning of selves play in the context of establishing and negotiating the symptoms' meaning. The bearer of medically unexplained symptoms is oftentimes subjected to moral assessments. In this paper it will be shown that parents, in the institutional setting of the pain clinic, enter the negotiation of moral assessments assigned to their children, and that these moral assessments not only concern the sufferers' selves but also the selves of the parents. The overall argument is that dialogues between parents and therapists concerning the meaning and source of their children's symptoms are simultaneously negotiations in which not only the sufferers'  but also their parents' moral positions are at stake.

摘要

本文追溯了在一家针对患有复发性或慢性疼痛或其他无明确生物物理病理学依据的躯体症状的儿童和青少年(8至18岁)的疼痛诊所中,父母与治疗师之间的治疗性对话里,症状的意义与身份定位是如何相互交织并通过话语构建的。基于民族志田野调查的数据资料,研究了儿童/青少年及其父母的身份在对话情境中是如何通过话语进行定位的,以及身份定位在确立和协商症状意义的背景下所起的作用。患有医学上无法解释的症状的人常常会受到道德评判。本文将表明,在疼痛诊所的机构环境中,父母会参与对其子女所受道德评判的协商,而且这些道德评判不仅涉及患者自身,还涉及父母自身。总体观点是,父母与治疗师之间关于子女症状的意义和根源的对话同时也是协商,在这些协商中,不仅患者的道德立场,而且其父母的道德立场都受到影响。

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