Social (u)orden i distriktspsykiatrien : En systemteoretisk analyse af psykiatriske patienters kommunikation og adfærd samt stigmatisering fra omverdenen
(2021) In Lund Dissertations in Sociology- Abstract
- This dissertation looks into everyday life at two day-care centres of community psychiatry in the municipality of Copenhagen. More specifically, it is about the patients' communication and behaviour, and about the stigmatization from
the outer world they experience. The empirical material is based on three years of participant observation. The two daycare centres and their districts were situated in opposite ends of the socioeconomic scale within the municipality, one of them in the district of the highest socioeconomic status in the municipality, the other one in a district of very low socioeconomic status. The socioeconomic distance caused marked differences in the patients' communication and behaviour patterns, which had to do with... (More) - This dissertation looks into everyday life at two day-care centres of community psychiatry in the municipality of Copenhagen. More specifically, it is about the patients' communication and behaviour, and about the stigmatization from
the outer world they experience. The empirical material is based on three years of participant observation. The two daycare centres and their districts were situated in opposite ends of the socioeconomic scale within the municipality, one of them in the district of the highest socioeconomic status in the municipality, the other one in a district of very low socioeconomic status. The socioeconomic distance caused marked differences in the patients' communication and behaviour patterns, which had to do with the patients' orientation. In the day-care centre placed in the low socioeconomic status district the patients focused mainly on the patient community, whereas the patients at the day-care centre in the district of high socioeconomic status were oriented towards normality. I analyze patients’ communication and behaviour
in line with the communication part of Luhmann’s systems theory approach. The patients expressed varying degrees of communication disturbances: some major, when they could not express themselves in a comprehensible way and therefore could not interact with other patients; some minor, which enabled them to interact with other patients even if they expressed for instance singular delusions. I focus on the day-care centres' double status as places of refuge and as stigmamarkers. They were places of refuge where the patients could talk freely about their symptoms and the effects of psychopharmaceuticals. However, the day-care centres were also stigma-markers because the patients were subjected to stigmatisation and moral judgment as a consequence of their mere contact with the psychiatric treatment system. The literature on stigmatisation describes how the discrimination against psychiatric patients influence their chances in more or less all life areas: Income, education, job and employment, psychological well-being, housing status, medical treatment, health and satisfactory relations. On top of the above-mentioned, psychiatric patients are at severe risk of excess mortality, as recently documented in a forensic autopsy study.
(Less) - Abstract (Swedish)
- Denna avhandling undersöker vardagen på två dagliga verksamheter inom psykiatrin i Köpenhamns kommun. Mer specifikt fokuserar avhandlingen patienternas kommunikation och beteenden samt den stigmatisering de upplever från omvärlden. Det empiriska materialet bygger på tre års deltagande observationer. De stadsdelar som de två verksamheterna låg i befann sig i var sin ände av kommunens socioekonomiska skala. En av dem i området med den högsta socioekonomiska statusen i kommunen, och den andra i ett område med mycket låg socioekonomisk status. Den socioekonomiska skillnaden orsakade markanta skillnader i patienternas kommunikations- och beteendemönster, samt även avseende vad de fokuserade på. I verksamheten placerad i stadsdelen med låg... (More)
- Denna avhandling undersöker vardagen på två dagliga verksamheter inom psykiatrin i Köpenhamns kommun. Mer specifikt fokuserar avhandlingen patienternas kommunikation och beteenden samt den stigmatisering de upplever från omvärlden. Det empiriska materialet bygger på tre års deltagande observationer. De stadsdelar som de två verksamheterna låg i befann sig i var sin ände av kommunens socioekonomiska skala. En av dem i området med den högsta socioekonomiska statusen i kommunen, och den andra i ett område med mycket låg socioekonomisk status. Den socioekonomiska skillnaden orsakade markanta skillnader i patienternas kommunikations- och beteendemönster, samt även avseende vad de fokuserade på. I verksamheten placerad i stadsdelen med låg socioekonomisk status fokuserade patienterna främst på patientgemenskap, medan patienterna på verksamheten i området med hög socioekonomisk status fokuserade på normalitet. I avhandlingen analyseras patienters kommunikation och beteende med utgångspunkt i kommunikationsdelen av Luhmanns systemteoretiska perspektiv. Patienterna uttryckte olika grad av kommunikationsstörningar: några större, när de inte kunde uttrycka sig på ett begripligt sätt och därför inte kunde interagera med andra patienter; några mindre, vilket gjorde det möjligt för dem att interagera med andra patienter även om de exempelvis uttryckte enskilda vanföreställningar. Analysen fokuserar på verksamheternas dubbla status, som tillflyktsställen och som stigmamarkörer. De var tillflyktsställen där patienterna kunde prata fritt om sina symtom och effekterna av psykofarmaka, men även stigmamarkörer i bemärkelsen att patienterna utsattes för stigmatisering och moraliskt omdöme som en konsekvens av deras kontakt med det psykiatriska behandlingsystemet. Litteraturen om stigmatisering beskriver hur diskrimineringen av psykiatriska patienter påverkar deras möjligheter inom mer eller mindre alla livsområden: inkomst, utbildning, jobb och sysselsättning, psykiskt välbefinnande, boendestatus, medicinsk behandling, hälsa och tillfredsställande relationer. Utöver det ovan nämnda löper psykiatriska patienter en allvarlig risk för överdödlighet, vilket nyligen påvisats i en rättsmedicinsk studie. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/83f2c613-1564-49e6-a95b-183b97d3f102
- author
- Klitgaard, Vibeke LU
- supervisor
- opponent
-
- Professor Skatvedt, Astrid Helene, University of South-Eastern Norway
- organization
- publishing date
- 2021
- type
- Thesis
- publication status
- published
- subject
- keywords
- (Rules of ) Communication, psychosocial disturbances, interaction systems, psychiatric institutions, socioeconomic differences, day-care centers, psychosis, stigmatization of psychiatric patients
- in
- Lund Dissertations in Sociology
- issue
- 126
- pages
- 495 pages
- publisher
- Lunds universitet : Sociologiska institutionen
- defense location
- Edens hörsal, Allhelgona kyrkogata 14, Lund
- defense date
- 2021-12-21 10:15:00
- ISSN
- 1102-4712
- ISBN
- 978-91-8039-063-7
- language
- Danish
- LU publication?
- yes
- id
- 83f2c613-1564-49e6-a95b-183b97d3f102
- date added to LUP
- 2021-11-24 08:51:32
- date last changed
- 2021-11-26 11:28:15
@phdthesis{83f2c613-1564-49e6-a95b-183b97d3f102,
abstract = {{This dissertation looks into everyday life at two day-care centres of community psychiatry in the municipality of Copenhagen. More specifically, it is about the patients' communication and behaviour, and about the stigmatization from<br/>the outer world they experience. The empirical material is based on three years of participant observation. The two daycare centres and their districts were situated in opposite ends of the socioeconomic scale within the municipality, one of them in the district of the highest socioeconomic status in the municipality, the other one in a district of very low socioeconomic status. The socioeconomic distance caused marked differences in the patients' communication and behaviour patterns, which had to do with the patients' orientation. In the day-care centre placed in the low socioeconomic status district the patients focused mainly on the patient community, whereas the patients at the day-care centre in the district of high socioeconomic status were oriented towards normality. I analyze patients’ communication and behaviour<br/>in line with the communication part of Luhmann’s systems theory approach. The patients expressed varying degrees of communication disturbances: some major, when they could not express themselves in a comprehensible way and therefore could not interact with other patients; some minor, which enabled them to interact with other patients even if they expressed for instance singular delusions. I focus on the day-care centres' double status as places of refuge and as stigmamarkers. They were places of refuge where the patients could talk freely about their symptoms and the effects of psychopharmaceuticals. However, the day-care centres were also stigma-markers because the patients were subjected to stigmatisation and moral judgment as a consequence of their mere contact with the psychiatric treatment system. The literature on stigmatisation describes how the discrimination against psychiatric patients influence their chances in more or less all life areas: Income, education, job and employment, psychological well-being, housing status, medical treatment, health and satisfactory relations. On top of the above-mentioned, psychiatric patients are at severe risk of excess mortality, as recently documented in a forensic autopsy study. <br/>}},
author = {{Klitgaard, Vibeke}},
isbn = {{978-91-8039-063-7}},
issn = {{1102-4712}},
keywords = {{(Rules of ) Communication; psychosocial disturbances; interaction systems; psychiatric institutions; socioeconomic differences; day-care centers; psychosis; stigmatization of psychiatric patients}},
language = {{dan}},
number = {{126}},
publisher = {{Lunds universitet : Sociologiska institutionen}},
school = {{Lund University}},
series = {{Lund Dissertations in Sociology}},
title = {{Social (u)orden i distriktspsykiatrien : En systemteoretisk analyse af psykiatriske patienters kommunikation og adfærd samt stigmatisering fra omverdenen}},
url = {{https://lup.lub.lu.se/search/files/110082751/Vibeke_Klitgaard_dissertation.pdf}},
year = {{2021}},
}