Adolescent Psychiatry as a product of contemporary Anglo-American society

Fàbrega, Horacio; Miller, Barbara

doi:10.1016/0277-9536(94)00166-q

Social Science & Medicine

1995

DOI: 10.1016/0277-9536(94)00166-q

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Adolescent Psychiatry as a product of contemporary Anglo-American society

Horacio Fàbrega

Barbara Miller

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Cited by 4 publications

(1 citation statement)

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“…Daley and Weisner (2003) observe that youths' explanatory models of cognitive and social impairment have received scant attention and Floersch (2003) argues that scholars have not examined how youth make sense of treatment with psychotropic medications. Such observations reflect a more general neglect of attention to youth within the medical social sciences (Davis et al 2000; Fabrega and Miller 1995; Mayall 1998).…”

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Children's Sense of Self in Relation to Clinical Processes: Portraits of Pharmaceutical Transformation

Carpenter‐Song

2009

Ethos

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Elizabeth Carpenter-SongThis article presents in-depth accounts of pharmaceutical transformation from the perspective of two children diagnosed with behavioral and emotional disorders. These portraits provide the basis for an examination of the complex interrelation between self and clinical processes. Narrative data were collected in the context of a 13-month anthropological study of the lived experiences of children diagnosed with behavioral and emotional disorders and their families living in the northeastern United States. Participating families (N 5 20) were from diverse racial/ethnic (African American, Euro-American, and Latino) and socioeconomic backgrounds. Psychiatric diagnoses and pharmaceuticals present tangible constraints in the lives of children that call attention to otherwise fluid and ephemeral self processes. These accounts suggest that psychiatric diagnoses and psychotropic medications present dilemmas for children's developing sense of self, revealing limitations to biopsychiatric ''pharmaceutical promises.'' [children, self processes, subjective experience, psychiatric disorder, pharmaceuticals] ''I can't handle my own self without the medicine handlin' me.'' F12-year-old African American boyUnderstanding the impact of illness and clinical treatments on persons is an enduring interest within social studies of medicine. In this article I examine how psychiatric disorders and pharmaceutical interventions shape children's subjective experience. I present the experience-near accounts of two children diagnosed with behavioral and emotional disorders to illuminate how alterations of self processes, including behavior, emotion, and cognition, through pharmaceutical technologies facilitate transformations in children's sense of self.In a classic formulation of the ''sick role '' Parsons (1951) theorized changes individuals undergo as a consequence of illness and medical treatment. This original formulation spawned decades of subsequent research seeking to delineate behaviors associated with illness (Mechanic 1962;Suchman 1965;Kasl and Cobb 1966a, 1966b); document variations in how sick roles are adopted (Twaddle 1969); and examine ethnic, cultural, and class variations in illness behavior and help seeking (

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confidence: 99%

Children's Sense of Self in Relation to Clinical Processes: Portraits of Pharmaceutical Transformation

Carpenter‐Song

2009

Ethos

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Caught in the Psychiatric Net: Meanings and Experiences of ADHD, Pediatric Bipolar Disorder and Mental Health Treatment Among a Diverse Group of Families in the United States

Carpenter‐Song

2008

Cult Med Psychiatry

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Based on a 13-month ethnographic meaning-centered study of the lived experience of behavioral and emotional disorders among children and families living in the United States, this article highlights the range of orientations to mental health problems and treatment among families from diverse backgrounds. Detailed case portraits of three families are presented to illustrate the various meanings that psychiatric diagnoses and mental health treatments take on within families, with medicalized perspectives holding less salience among African-American families relative to Euro-Americans in the study. The diverse orientations to problems among families in the study suggest that, despite the dominance of biochemical and neurological explanations for behavioral and emotional distress in contemporary U.S. culture, and especially U.S. psychiatry, nonpathological interpretations have not been wholly eclipsed by broad trends toward biologization and medicalization. Families' experiences are positioned to reveal the allure, as well as the limitations, of biopsychiatric approaches to behavioral and emotional problems.

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Coming of age in war: Early life adversity, age at menarche, and mental health

Glass,

Reiches,

Clarkin

2024

Psychoneuroendocrinology

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Adolescent Psychiatry as a product of contemporary Anglo-American society

Cited by 4 publications

References 37 publications

Children's Sense of Self in Relation to Clinical Processes: Portraits of Pharmaceutical Transformation

Children's Sense of Self in Relation to Clinical Processes: Portraits of Pharmaceutical Transformation

Caught in the Psychiatric Net: Meanings and Experiences of ADHD, Pediatric Bipolar Disorder and Mental Health Treatment Among a Diverse Group of Families in the United States

Coming of age in war: Early life adversity, age at menarche, and mental health

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