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Be the first to write a review. Add to Wishlist. Ships in 7 to 10 business days. Link Either by signing into your account or linking your membership details before your order is placed. Description Table of Contents Product Details Click on the cover image above to read some pages of this book! Industry Reviews "Prescription TV is a beautifully written and persuasive account of television's medical applications at home and in the hospital over the decades. Acknowledgments ix Introduction. Television, Hospital, Home 1 1. Convalescent Companions: Hospital Entertainment before Television 23 2.
Television Goes to the Modern Hospital 49 3. In Stock. The Media and Communications in Australia 4th edition, The interviews were digitally recorded and transcribed verbatim, excluding any identifying information, reviewed for accuracy and labelled with an identifier code. Some entire interviews, the field notes, as well as the coded engagement data, comprised the textual data for this analysis.
Caring for older people
What is the nature and tone of the language the men selected to describe their experiences and how does this relate to their perception of gender? The discursive frames were then probed to determine if they differed for those with and without a formal diagnosis and by severity of depression captured through the BDI scores.
These scores were slightly higher among the participants who had a formal diagnosis of depression. Of the 12 men who had not been formally diagnosed, three had BDI scores suggestive of minimal depression, one had a score suggestive of mild depression, four had scores suggestive of moderate depression and four had scores suggestive of severe depression. It should also be noted that some of the men we spoke with were recovering from recent bouts with severe depression so their BDI scores did not necessarily reflect the severity of the depressive episodes they had experienced.
We identified no patterns across these discursive frames based on the severity of BDI score, formal or informal diagnoses or other variables, such as age and ethnicity. As social discourses, these frames were not mutually exclusive or chronological in nature; participants often generated multiple discursive frames in their interview.
Introduction to Sociological Research
This discursive frame is closely aligned with hegemonic masculine ideals including strength, courage and independence. The notion that manly men do not seek help was a key feature of this discourse. Many men suggested, with acute awareness, that their reluctance to seek help was tied to their sense of masculinity;. A strong expectation expressed was that that men should be able to deal with their problems and that the reluctance to seek help was grounded in a fear of being judged.
The men framed depression as difficult to interpret and act on, in contrast with physical problems that have tangible symptoms. But as compared to other things like a cold or something, you have some physical cure for it. Because I felt, like, if talking can help me then I can help myself. The men whose talk aligned with this discursive frame openly or subtly ridiculed other men who sought help, demonstrating the power of this perspective.
To seek help from a physician was constructed as a sign of weakness. Seeking professional help and taking treatment for his depression were integrated with his masculine identity and active fathering role. Only after a man had fully wrestled with depression on his own could he turn to others for help.
Therapeutic Discourse in the Hospital and at Home
For example, the idea of investigating or making an appointment to examine management options, meet potential caregivers or ask questions was not described. Therapies that fixed the problem such as a chemical imbalance or provided an active role for the man were favoured. In contrast, therapeutic approaches that emphasised empathic listening or psychodynamic insight were considered suspect.
Guarded vulnerability is a paradoxical frame that emerged as men talked about how they were not coping well with their depression, while at the same time recognising their masculine ideals were threatened by revealing this vulnerability. The perception of vulnerability the men attached to asking for help had to be allayed to protect the masculine self.
The men suggested they guarded their vulnerability by cautiously seeking assistance, limiting disclosure of their depression and minimising the severity of the depression experience or the magnitude of need. The first time I was in there racing thoughts again, mania. In many cases, the experience of vulnerability was not related to the actual symptoms of depression for example, sadness, anger and despair so much as this experience of adopting the patient role and submitting to an interaction with a health professional, a threat that needed to be managed.
In requesting help from a family member instead of a professional, the men not only maintained confidentiality in relation to their illness, they avoided brushing up against institutional structures in which power relations enacted by class, education and ethnic differences became evident. Many men voiced the idea that disclosure of depression to a friend or spouse put them in a less vulnerable position than disclosure to a professional. For those who are fairly comfortable with being gay, even then [they] may opt to do the informal therapy, you know, talking to friends and what not.
Which of course is helpful … to have a network of friends that you can express your emotions and feelings about things to. That is very good. But there are times when, yeah, you need professional help. I think there is something with male culture, maybe it is brain chemistry. This passage reproduces the discourse that men must demonstrate an appropriate threshold of discomfort before seeking help, paired with the gendered assumption that asking for professional help makes men too vulnerable, too weak.
I admitted it to myself for the months leading up to it.
prescription tv therapeutic discourse in the hospital and at home Manual
In this passage, the man defends his need familial history to ask for professional help, but is further disappointed with the outcome of a prescription. The message embedded in the discourse cautions that a man must keep up his guard when subjecting himself to medical encounters. Paradoxically, the discourse of guarded vulnerability was also drawn upon to justify the decision to not seek professional assistance. R: Why have you refused counselling? The discourse of desperation suggests that there is no choice but to seek help. Within this context, the uptake of emergency care did not transgress their masculine ideals.
I drove myself to the hospital and I was trying to kick in the hospital doors and trying to get in and then I walked right into the back and they put me in the suicide room.
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