Loading...
Construction of suicidal ideation in medical records
Galasinski, Dariusz Ziółkowska, Justyna
Galasinski, Dariusz
Ziółkowska, Justyna
Editors
Other contributors
Affiliation
Epub Date
Issue Date
2017-07-13
Submitted date
Files
Alternative
Abstract
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: 10.1080/07481187.2017.1332910
Publisher
Journal
Research Unit
PubMed ID
PubMed Central ID
Embedded videos
Additional Links
Type
Journal article
Language
en
Description
This is an accepted manuscript of an article published by Taylor and Francis in Death Studies on 13/07/2017, available online: https://doi.org/10.1080/07481187.2017.1332910
The accepted version of the publication may differ from the final published version.
Series/Report no.
ISSN
0748-1187