Old patients in mental health research

A diachronic corpus-assisted discourse analysis

Authors

  • Laura Tommaso University of Eastern Piedmont

DOI:

https://doi.org/10.1558/jld.21486

Keywords:

ageism, mental health, old patient, scholarly discourse, CADS

Abstract

The present study takes a diachronic corpus-assisted discourse studies approach (Partington et al. 2013) to examine the representation of mentally-ill elderly patients in medical research articles, in the fields of psychology and psychiatry, published between 1950 and 2019. Despite evidence of the expanding scope of mental health research in more recent years, nihilistic views about mental health assessment and intervention underpin the discourse around mentally-ill older adults across the time span under consideration. In the literature, ageing is variously constructed as a process leading to deprivation, resignation and physical decay, increasing the chances of the onset of mental illnesses. The perpetuation of these discourses, which confirm and propagate discriminatory age-bias positioning on the part of medical researchers, specialists and the health community at large, may constitute a significant obstacle to an improvement in the quality of mental and physical health care provided for the older population, both currently, and without substantial intervention, for the foreseeable future. Overall, it is hoped that this article has not only made a valuable contribution to the understanding of ageing from a historical discourse analysis perspective, but may be of interest to mental health scholars and professionals alike inspiring them to question their knowledge and practices about and for older patients.

Author Biography

  • Laura Tommaso, University of Eastern Piedmont

    Laura Tommaso holds a PhD from the University of Chieti-Pescara and is Assistant Professor of English Language, Linguistics and Translation at the University of Eastern Piedmont. Her areas of research encompass media and healthcare discourse, cross-cultural rhetoric and language by and about older persons.

References

Abraham, K. (1919) The applicability of psychoanalytic treatment to patients at an advanced age. In Selected Papers of Karl Abraham (1927) 312–317. London: Hogarth.

Anthony, L. (2019) AntConc (Version 8.5.15) [Computer Software]. Tokyo, Japan: Waseda University. Available from https://www.laurenceanthony.net/software

Baker, P. (2006) Using Corpora in Discourse Analysis. London: Continuum.

Banks, D. (2008) The Development of Scientific Writing. Linguistic Features and Historical Context. London: Equinox.

Banks, D. and Di Martino, E. (2019) Special section on linguistic and discourse issues in contemporary scientific communication. Journal of Pragmatics 139: 185–246. https://doi.org/10.1016/j.pragma.2018.10.011

Bartels, S. J. and Naslund, J. A. (2013) The underside of the silver tsunami – older adults and mental health care. The New England Journal of Medicine 368: 493–6. https://doi.org/10.1056/nejmp1211456

Bauer, M. W. (2009) The evolution of public understanding of science. Discourse and comparative evidence. Science, Technology and Society 14(2): 221–40. https://doi.org/10.1177/097172180901400202

Bazerman, C. (1988) Shaping Written Knowledge: The Genre and Activity of the Experimental Article in Science. Madison, WI: University of Wisconsin Press. https://doi.org/10.1177/016224399101600109

Bazerman, C. (1990) Discourse analysis and social construction. Annual Review of Applied Linguistics 11: 77–83. https://doi.org/10.1017/s0267190500001963

Bodner E., Palgi, Y., and Wyman M. F. (2018) Ageism in mental health assessment and treatment of older adults. In L. Ayalon and C. Tesch-Römer (eds) Contemporary Perspectives on Ageism 241–62. Cham: Springer. https://doi.org/10.1007/978-3-319-73820-8_15

Bowen, M. and Lovell, A. (2019) Stigma: The representation of mental health in UK newspaper Twitter feeds. Journal of Mental Health 10: 1–7. https://doi.org/10.1080/09638237.2019.1608937

Brown, J. S., Collins, A., and Duguid, P. (1989) Situated cognition and the culture of learning. Educational Researcher 18: 32–42. https://doi.org/10.3102/0013189x018001032

Burr, V. (1995) An Introduction to Social Constructionism. London and New York: Routledge.

Butler, R. N. (1969) Age-ism: Another form of bigotry. The Gerontologist 9(4.1): 243–46. https://doi.org/10.1093/geront/9.4_part_1.243

Buttigieg, S. C., Ilinca S., de Sao Jose, J.M.S., and Taghizadeh Larsson, A. (2018) Researching ageism in healthcare and long term care. In L. Ayalon and C. Tesch-Römer (eds) Contemporary Perspectives on Ageism 493–515. Cham: Springer. https://doi.org/10.1007/978-3-319-73820-8_29

Danzinger, P.R. and Welfel, E.R. (2000) Age, gender and health bias in counselors: An empirical analysis. Journal of Mental Health Counseling 22: 135–49.

Fàbrega, H. Jr. (2001) Culture and history in psychiatric diagnosis and practice. Psychiatric Clinics of North America 24(3): 391–405. https://doi.org/10.1016/s0193-953x(05)70236-7

Fairclough, N. (1989) Language and Power. London: Longman.

Freud, S. (1898) Sexuality in the aetiology of the neuroses. In J. Strachey (ed. and trans.), The Standard Edition of the Complete Psychological Works of Sigmund Freud Vol. 3 (1962) 261–85. London: Hogarth Press. https://doi.org/10.1080/00029157.1996.10403343

Freud, S. (1904) Freud’s psycho-analytic procedure. In J. Strachey (ed. and trans.), The Standard Edition of the Complete Psychological Works of Sigmund Freud Vol. 7 (1962) 249–54. London: Hogarth Press. https://doi.org/10.1080/00029157.1996.10403343

Freud, S. (1905) On psychotherapy. In J. Strachey (ed. and trans.), The Standard Edition of the Complete Psychological Works of Sigmund Freud Vol. 7 (1962) vol. 257–68. London: Hogarth Press. https://doi.org/10.1080/00029157.1996.10403343

Garzone, G. and Sarangi, S. (eds) (2008) Discourse, Ideology and Specialized Communication. Bern: Peter Lang.

Gatz, M. and Pearson, C. G. (1988) Ageism revised and the provision of psychological services. American Psychologist 43(3): 184–88. https://doi.org/10.1037/0003-066x.43.3.184

Giddens, A. (1979) Central Problems in Social Theory: Action, Structure, and Contradiction in Social Analysis. Los Angeles: University of California Press.

Gross, P. E. and Eshbaugh, E. M. (2011) Tuning them in versus turning them on: How do we interest students in working with older adults? Gerontology and Geriatrics Education 32: 122–34. https://doi.org/10.1080/02701960.2011.572037

Harrington, A. (2019) Mind Fixers: Psychiatry’s Troubled Search for the Biology of Mental Illness. New York: WW Norton and Company. https://doi.org/10.1080/02759527.2020.1729070

Harvey, K. (2012) Disclosures of depression: Using corpus linguistics methods to examine young people’s online health concerns. International Journal of Corpus Linguistics 17(3): 349–79. https://doi.org/10.1075/ijcl.17.3.03har

Hastings, J. (2020) Mental Health Ontologies: How We Talk about Mental Health, and Why it Matters in the Digital Age. Exeter: University of Exeter Press. https://doi.org/10.1111/add.15418

Helmes, E. and Gee, S. (2003) Attitudes of Australian therapists toward older clients: Educational and training imperatives. Educational Gerontology 29: 657–70. https://doi.org/10.1080/03601270390225640

Hillerbrand, E. and Shaw, D. (1990) Age bias in a general hospital: Is there ageism in psychiatric consultation? Clinical Gerontologist 9(2): 3–13. https://doi.org/10.1300/j018v09n02_02

Hilton, C. (2016) Psychogeriatrics in England in the 1950s: Greater knowledge with little impact on provision of services. History of Psychiatry 27(1): 3–20. https://doi.org/10.1177/0957154x15624365

Hunt, D. and Brookes, G. (2020) Corpus, Discourse and Mental Health. London: Bloomsbury Publishing.

Hyland, K. (2004) Disciplinary Discourses: Social Interactions in Academic Writing. Ann Arbor, MI: University of Michigan Press. https://doi.org/10.3998/mpub.6719

Hyland, K. (2009) Academic Discourse: English in a Global Context. London: Continuum.

Katz, S. (1996) Disciplining Old Age: The Formation of Gerontological Knowledge. Charlottesville: University of Virginia Press. https://doi.org/10.1177/000169939804100417

Kinloch, K. and Jaworska, S. (2021) ‘Your mind is part of your body’: Negotiating the maternal body in online stories of postnatal depression on Mumsnet. Discourse, Context and Media 39: 100456. https://doi.org/10.1016/j.dcm.2020.100456

Klin, A. and Lemish, D. (2008) Mental disorders stigma in the media: Review of studies on production, content, and influences. Journal of Health Communication 13(5): 434–49. https://doi.org/10.1080/10810730802198813

Kueffer C. and Brendon, L.M.H. (2014) Responsible use of language in scientific writing and science communication. BioScience 64(8): 719–24. https://doi.org/10.1093/biosci/biu084

Latour, B. (1987) Science in Action: How to Follow Scientists and Engineers through Society. Cambridge, MA: Harvard University Press. https://doi.org/10.1126/science.238.4827.695

Levy, B. and Banaji, M. (2002) Implicit ageism. In T. Nelson (ed.) Ageism: Stereotyping and Prejudice against Older Persons 127–8. Cambridge, MA: MIT Press. https://doi.org/10.7551/mitpress/1157.003.0006

Mautner, G. (2009) Corpora and critical discourse analysis. In Baker P. (ed.) Contemporary Approaches to Corpus Linguistics 32–46. London: Continuum, London.

Ocer, A. and de la Fuente-Núñez, V. (2018) A global campaign to combat ageism. Bulletin. World Health Organisation 96: 295–96. https://doi.org/10.2471/blt.17.202424

Partington, A., Duguid, A. and Taylor, C. (2013) Patterns and Meanings in Discourse: Theory and Practice in Corpus-Assisted Discourse Studies (CADS). Amsterdam: John Benjamins Publishing. https://doi.org/10.1075/scl.55

Philo, G. (1997) Changing media representations of mental health. Psychiatric Bulletin 21(3): 171–2. https://doi.org/10.1192/pb.21.3.171

Price, H. (2019) The Discursive Construction of Mental Illness in UK Newspapers (1984-2014): A Critical Corpus Linguistic Analysis. Doctoral thesis, University of Huddersfield.

PubMed® [Internet] (2006) Bethesda, MD: U.S. National Library of Medicine, National Institutes of Health.

Ray, D. C., Raciti, M. A. and Ford, C. V. (1985) Ageism in psychiatrists: Associations with gender, certification, and theoretical orientation. The Gerontologist 25: 496–500. https://doi.org/10.1093/geront/25.5.496

Robb, C., Chen, H. and Haley, W.E. (2002) Ageism in mental health and health care: A critical review. Journal of Clinical Geropsychology 8: 1–12.

Rojek, C., Peacock, G. and Collins, S. (1998) Social Work and Received Ideas. London: Routledge.

Scollon, R. and Scollon, S.W. (2001) Intercultural Communication (2nd ed.) Oxford: Blackwell.

Scott, M. and Tribble, C. (2006) Textual Patterns: Keyword and Corpus Analysis in Language Education. Amsterdam: Benjamins.

Swales, J. (1990) Genre Analysis: English in Academic and Research Settings. Cambridge: Cambridge University Press. https://doi.org/10.1075/z.184.513swa

Swales, J. (2004) Research Genres. Explorations and Applications. Cambridge: Cambridge University Press.

Thornton, J., Ann, A. and Wahl, O.W. (1996) Impact of a newspaper article on attitudes toward mental illness. Journal of Community Psychology 24(1): 17–25. https://doi.org/10.1002/(sici)1520-6629(199601)24:1%3C17::aid-jcop2%3E3.0.co;2-0

Tomko, J. K. (2008) Predicting Counseling Psychologists’ Attitudes and Clinical Judgments with Respect to Older Adults. Ann Arbor, MI: Western Michigan University.

Turner, J., Hayward, R., Angel, K., Fulford, B., Hall, J., Millard, C. and Thomson, M. (2015) The history of mental health services in modern England: Practitioner memories and the direction of future research. Medical History 59 (4): 599–624. https://doi.org/10.1017/mdh.2015.48

Weatherhead, E. (1954) Elderly psychiatric patients. The British Medical Journal 1(4870): 1096.

WHO: World Health Organization (2012) Dementia: A public health priority. https://www.who.int/publications/i/item/dementia-a-public-health-priority (accessed on 3 November 2021).

WHO: World Health Organization (2017) Global action plan on the public health response to dementia 2017–2025. https://www.who.int/mental_health/neurology/dementia/hscprovider https://doi.org/10.1016/j.jalz.2017.07.758 (accessed on 3 November 2021).

WHO: World Health Organization (2019) The WHO special initiative for mental health (2019–2023). https://www.who.int/publications/i/item/special-initiative-for-mental-health-(2019-2023) (accessed on 3 November 2021).

WHO: World Health Organization (2021) Global report on ageism. https://www.who.int/teams/social-determinants-of-health/demographic-change-and-healthy-ageing/combatting-ageism/global-report-on-ageism; https://doi.org/10.1038/s43587-021-00036-4 (accessed on 3 November 2021).

Woolgar, S. and Ashmore, M. (1988) The next step: An introduction to the reflexive project. In S. Woolgar (ed.) Knowledge and Reflexivity. New Frontiers in the Sociology of Knowledge 1–13. London: Sage Publications. https://doi.org/10.2307/2073757

Wyman, M.F., Shiovitz-Ezra, S. and Bengel, J. (2018) Ageism in the health care system: Providers, patients, and systems. In L. Ayalon and C. Tesch-Römer (eds) Contemporary Perspectives on Ageism 193–212. Cham: Springer. https://doi.org/10.1007/978-3-319-73820-8_13

Yore, L. D., Florence, M. K, Pearson, T. W., and Weaver, A. J. (2006) Written discourse in scientific communities: A conversation with two scientists about their views of science, use of language, role of writing in doing science, and compatibility between their epistemic views and language. International Journal of Science Education 28(2): 109–41. https://doi.org/10.1080/09500690500336601

Published

2022-04-27

How to Cite

Tommaso, L. (2022). Old patients in mental health research: A diachronic corpus-assisted discourse analysis. Journal of Language and Discrimination, 6(1), 37–63. https://doi.org/10.1558/jld.21486