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Psykiatrisering som kulturmönster: ett utkast till sociokulturella studier av psykisk hälsa
Høgskolen i Østfold.
Umeå University, Faculty of Social Sciences, Department of Social Work.
2017 (Swedish)In: Tidsskrift for psykisk helsearbeid, ISSN 1503-6707, E-ISSN 1504-3010, Vol. 14, no 1, p. 54-65Article in journal (Refereed) Published
Abstract [no]

Utgangspunktet for denne teoretiske artikkelen er altså at forståelsen av menneskers eksistensielle lidelser og sosiale problemer, deres psykiske helse, domineres for mye av språkstilen og virkelighetsoppfatningen i psykiatrien. Hensikten med artikkelen er å presentere noen teoretiske resonnement, kunnskapsteoretiske utgangspunkter og forskningsspørsmål som kan anvendes ved sosiokulturelle studier av psykisk helse. Gjennom å analysere psykiatriens indre logikk og ytre berøringspunkter skapes kunnskap som kan anvendes for å finne en måte å forstå og hjelpe mennesker med dårlig psykisk helse bortenfor psykiatrienes kjappe løsninger med diagnoser og legemiddel. Den nye kunnskapen kan åpne muligheten for at forståelsen av menneskers eksistensielle lidelse og sosiale problemer kan føres tilbake til hverdagslivet hvor de leves ut.

Abstract [en]

The starting point for this theoretical article is that the understanding of peoples’ existential suffering and social difficulties and their mental health, are dominated too much by the language style of psychiatry. The purpose of this article is to present some theoretical reasoning, epistemological aspects and research issues that can be used for future socio-cultural studies on mental health. By analyzing psychiatry’s internal logic and external points of contact, knowledge is created that can be used to find ways to understand and help people with mental illness beyond psychiatry’s quick solutions with diagnoses and medication. The new knowledge could open up the possibility that the understanding of peoples’ existential suffering and social difficulties can be utilized in their everyday lives.

Place, publisher, year, edition, pages
Universitetsforlaget, 2017. Vol. 14, no 1, p. 54-65
Keywords [en]
medicalization, psychiatrization, everyday life, socio-cultural, constructionism, dynamic nominalism
Keywords [no]
medikalisering, psykiatrisering, psykisk helse, hverdagsliv, sosiokultur, konstruksjonisme, dynamisk nominalisme
National Category
Social Work
Identifiers
URN: urn:nbn:se:umu:diva-133962DOI: 10.18261/issn.1504-3010-2017-01-06OAI: oai:DiVA.org:umu-133962DiVA, id: diva2:1090230
Available from: 2017-04-23 Created: 2017-04-23 Last updated: 2018-09-03Bibliographically approved
In thesis
1. Psykiatriseringen av skolkaren: BUP och det institutionella omhändertagandet av ungdomar som inte går till skolan
Open this publication in new window or tab >>Psykiatriseringen av skolkaren: BUP och det institutionella omhändertagandet av ungdomar som inte går till skolan
2018 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[en]
Psychiatrization of the truant : child and adolescent psychiatry and the institutional care of young people who do not go to school
Abstract [en]

The main aim of the thesis was to investigate the nature of as well as critically review the institutional care of young people who do not go to school.

The thesis consists of four studies. The first three studies are based on different empirical materials such as electronical journals and administrative patient databases, qualitative interviews with social workers at Child and Adolescent Psychiatry (CAP), and with managerial representatives in School, social services and CAP. The fourth study is mainly theoretical and problematizes the results from the first three studies.

The results show several problematic aspects in the institutional care of young truants. When young truants enters CAP, a quick, and sometimes without psychological investigation, categorization is made with psychiatric terminology in the form of a diagnosis, and medicines are prescribed as treatment. Further, social workers, who shall have a systemic approach on family and relationships, seem to embrace a psychiatric diagnostic understanding of the problems. At the same time, it appears that school only has extra resources to help the truants if they have a psychiatric diagnosis. Although the idea of collaboration between different professionals is that several different perspectives should be used, the results shows that CAP's psychiatric perspective dominates.

The results of what happens to young people who do not go to school is discussed as an example of a special form of medicalization, in which social difficulties and existential problems are referred to psychiatry. It appears that help for them is completely individualised, by focusing on symptoms and diagnosis. What is not visible in this unilateral individualisation, for example, are organisational and educational problems in school, system problems in the family or among friends or lack of social contacts outside the family. By referring the truant to CAP can therefore miss further social circumstances in their life situation, which can have great importance in whether they attend school or not. Therefore, it is important to problematise this process of referring everything to psychiatry and to ask questions about what situations and events have contributed to this cultural pattern, which means that people's difficulties in life are increasingly being solved with diagnosis and medications.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2018. p. 79
Series
Studier i socialt arbete vid Umeå universitet : avhandlings- och skriftserie, ISSN 0283-300X ; 92
Keywords
Truancy, young people who do not go to school, institutional care, child and adolescent psychiatry, social services, school, collaboration, exclusion, psychiatrization
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-151437 (URN)978-91-7601-916-0 (ISBN)
Public defence
2018-09-28, Hörsal B, Samhällsvetarhuset, Umeå, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2018-09-07 Created: 2018-09-03 Last updated: 2018-10-16Bibliographically approved

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