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Parents’ constructions of normality and pathology in child mental health assessments

机译：父母心理健康评估中正常性和病理学的建设

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Abstract Central to a contemporary understanding of childhood is the developmental and clinical‐medical construct of the ‘normal’ child. When judged to fall outside of culturally, socially and historically situated parameters of ‘normality’, children become labelled as ‘deviant from the norm’; for instance, in mental health contexts where this may provide the basis for psychiatric diagnosis. However, judgements of a child's ‘normality’ are further complicated by the range of individuals who may have a stake in that construction, including parents/carers, professionals and the child themselves. Using discursive psychology, we analysed 28 video‐recorded UK child mental health assessments, to examine ways that parents presented concerns about their children's development. They did this by drawing on notions of ‘ab/normal’, in ways that functioned to legitimise their need for services and built a rhetorical case to demonstrate clinical need; often by contrasting the child with other ‘typical’ children and/or contrasting the same child's behaviour in different settings or contexts. We concluded that given the growing crisis in child mental health, initial assessments play a crucial clinical role in determining diagnosis and labelling, and therefore, a critical discussion of these concepts and processes is essential.
机译：摘要当代对童年时代的核心是“正常”儿童的发展和临床医学构建。当判断出在文化上的外面，社会和历史上位于“正常的”的“正常”参数之外，孩子们被标记为“常量的偏差”;例如，在精神健康背景下，这可以提供精神诊断的基础。然而，儿童的“正常性”的判断是在该建筑中可能有股份的个人的范围进一步复杂化，包括父母/照顾者，专业人士和儿童本身。使用话语心理学，我们分析了28个视频记录的英国儿童心理健康评估，以研究父母对其儿童发展的关注。他们通过绘制“AB / NORMAL”的概念来实现这一目标，以旨在使他们对服务的需求合法化并建立修辞案来证明临床需求;通常通过将孩子与其他“典型的”儿童造影，和/或对比不同的环境或背景下的孩子的行为。我们得出结论，鉴于儿童心理健康的危机日益危机，初步评估在确定诊断和标签方面发挥了至关重要的临床作用，因此，对这些概念和流程的关键讨论至关重要。

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