記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Social Science and Medicine  

In recent years, there has been renewed interest in diversifying the understanding and discussion about the causes of depression to move beyond biomedical determinism—a view that biomedical factors are the ultimate cause of an individual's depression. There is increasing emphasis on diversity in how people seek to articulate the causes of depression to incorporate non-biomedical dimensions. Furthermore, the biomedical understanding of depression has been increasingly questioned due especially to emerging limitations in pharmacotherapy. These shifts encourage social analyses that explore what narratives as to the causes of depression are constructed and presented with relative plausibility in different contexts and why and how. By analysing published memoirs of individuals diagnosed with depression in Japan, this study aims to provide fresh insights into narratives around the causes of depression. It illustrates how memoirs portray depression and its perceived causes in characteristic ways in a nation that adopts Western diagnostic systems, biomedical therapeutics and other relevant technologies. I will show that ‘burnout’ is the dominant theme in the Japanese data, diverging from the predominantly biomedical narrative in Western societies. This burnout narrative depicts depression as the somewhat unfortunate but unsurprising result of overwork arising from individual active adaptations to structural features of the Japanese work culture. I argue that reasons, rather than causes, articulate the making of the burnout narrative by revealing the interplay between the structural and individual and ultimately enrich the understanding of depression. The paper concludes with a call for exploring the shifting relationship between illness and normalcy that the burnout narrative implies. I suggest that further studies could explore how the boundaries between normalcy and illness are enacted and re-enacted and to what avail through public discourse and through shifting diagnostic schemata in the context of different national norms and practices.

添付ファイル： 2024 Shimizu SSM.pdf

DOI： 10.1016/j.socscimed.2024.116703

Scopus

PubMed

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記述言語：日本語   掲載種別：研究論文（学術雑誌）  

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Informa UK Limited  

DOI： 10.1080/18752160.2022.2148049

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Wiley  

DOI： 10.1111/1467-9566.13415

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その他リンク： https://onlinelibrary.wiley.com/doi/full-xml/10.1111/1467-9566.13415

記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Sociology of Health and Illness  

Stress-induced mental illnesses have become the focus of increasing international attention, particularly in Japan since the 1990s, where judiciary cases and welfare-state initiatives established causal links between work stress and mental illness. However, how individuals retrospectively construct this causality remains a marginal topic in the literature. This ethnographic article explores the ways in which male workers seeking compensation for their condition (depression and adjustment disorder) reconstruct aetiology narratives and to what avail. This paper demonstrates two themes: (1) how objectivising stress (related to specific formats of worker compensation), no-faulting (dispensing with individual blame to view stress as pervasive in the workplace) and negotiating blame (seeking explanation in terms of individual psychology) construct a case, and (2) how narrative reconstruction functions as both a barrier to recovery and way of working towards recovery and collective function. It is argued that the narrative reconstructions of workers, who become unwell and seek recognition, suggest uncertain self-victimisation despite the broader understanding of mental illness in contemporary Japan. The findings imply the heuristic potential of relativising causality and treating analytical dichotomies, including causality–narrative, victimhood–agency and fact–fiction, not as contradictory alternatives, but as different analysis levels, to better understand ambiguous illness narratives.

添付ファイル： Sociology Health Illness - 2021 - Shimizu.pdf

DOI： 10.1111/1467-9566.13288

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その他リンク： https://onlinelibrary.wiley.com/doi/full-xml/10.1111/1467-9566.13288

記述言語：日本語

CiNii Books

総ページ数：vii, 306, 7p   記述言語：日本語

CiNii Books

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開催年月日： 2023年4月

記述言語：英語   会議種別：口頭発表（一般）  

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開催年月日： 2023年2月

記述言語：英語   会議種別：シンポジウム・ワークショップ パネル（指名）  

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開催年月日： 2022年8月

記述言語：英語   会議種別：口頭発表（招待・特別）  

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開催年月日： 2022年5月

記述言語：日本語  

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開催年月日： 2020年9月

記述言語：日本語  

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修了（第4006号）

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修了（第24号）

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修了（第78号）

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種別：学会・研究会等 

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種別：査読等 

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種別：査読等 

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種別：大会・シンポジウム等 

添付ファイル： fy2019_cardiff.pdf

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