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Issue Date
2017-07-13
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Show full item recordAbstract
In this paper we are interested in exploring discursive transformation of patients’ stories of suicidal ideation into medical discourses. In other words, we focus on how the narrated experience of suicidal thoughts made during the psychiatric assessment interview is recorded in the patients’ medical record. Our data come from recordings of psychiatric interviews, as well as the doctors’ notes in the medical records made after the interviews, collected in psychiatric hospitals in Poland. Assuming a constructionist view of discourse, we demonstrate that lived experience of suicide ideation resulting in stories of a complex and homogeneous group of “thoughts” is reduced to brief statements of fact of presence/existence. Exploration of the relationship between the interviews and the notes suggest a stark imposition of the medical gaze upon them. We end with arguments that discursive practices relegating lived experience from the focus of clinical practice deprives it of information which is meaningful and clinically significant.Citation
Galasinski, D., Ziółkowska, J. (2017) 'Construction of Suicidal Ideation in Medical Records', Death Studies, 41(8), pp. 493-501 doi: 10.1080/07481187.2017.1332910Publisher
Routledge (Taylor & Francis)Journal
Death StudiesAdditional Links
https://www.tandfonline.com/doi/full/10.1080/07481187.2017.1332910Type
Journal articleLanguage
enISSN
0748-1187ae974a485f413a2113503eed53cd6c53
10.1080/07481187.2017.1332910
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- Creative Commons
Except where otherwise noted, this item's license is described as https://creativecommons.org/CC BY-NC-ND 4.0