The representation of illness manifestation during the frst psychiatric interview with patients preliminary diagnosed with depressive illness

Abstract

The aim of the study is the analysis of patients' and doctors' discursive representation of mental health problems during the frst psychiatric interview. The data comes from 16 initial psychiatric interviews recorded by doctors in three psychiatric hospitals in Poland. Assuming the discursive character of representation the analysis of the data has shown that the representation of illness manifestations in doctors and patients narratives differs. The doctors constructed mental health problems mainly as static and timeless existence of medical symptoms and patients' traits. Conversely, the patients constructed illness manifestations in terms of action, as dynamic and contextualised processes.Interestingly, the patients deprived themselves of control over the acting illness manifestations. Doctors' static picture of illness manifestations eliminates the possibility of exploring the complicated relationship between patients and their problems. An examination of the way patients construct illness manifestations could be relevant diagnostic information. © 2011, Versita. All rights reserved.