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Wanting to work: managing the sick role in high-stake sickness insurance meetings

机译:想要工作:在高股份疾病保险会议中管理生病作用

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摘要

This article respecifies and develops Parsons's sick role theory, focusing on the postulate that the sick person must want' to get well. Using conversation analysis and discursive psychology to study how the psychological term want' is used in high-stake, multi-professional meetings with sickness benefit claimants in Sweden, the article shows how establishing that one wants' to get well requires extensive interactional work. In the examined meetings, the sick person's want' formulations make explicit the relationship between wants' and illness or inabilities, thus allowing for motivational character to be established without committing to its implications, and without appearing strategic or biased. By contrast, professional parties in the meetings invoke the sick person's wants' either to hold them accountable, or for establishing a desired course of recovery, confirming the centrality of such wants' in this setting as well as the risks associated with expressing them. The article suggests that analysing psychological matters as they are oriented to by participants renders sick role theory relevant for a wide range of settings and respecifies criticism of the model.
机译:本文重新审视并开发帕森斯的病人的角色理论,重点关注病人必须要康复的假设。使用对话分析和话语心理学来研究心理学术语想要的人气,在瑞典的疾病中,多职业会议用疾病福利索赔人,这篇文章展示了如何建立一个人想要的人才能得到大量的互动工作。在审查的会议中,病人想要的“制定”明确的意识形态和疾病或疾病之间的关系,从而允许在不致力于其影响的情况下建立动机性格,而不会出现战略或偏见。相比之下,会议中的专业缔约方援引病人的需求“要么持有责任,或者建立所需的恢复课程,确认在这个环境中的那些想要的中心,以及与表达他们相关的风险。本文表明,分析了与参与者面向的心理问题呈现出对各种环境相关的生病角色理论,并重新批评该模型。

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