ABSTRACT

Patients with chronic fatigue receive advice to improve symptom management and well-being. This advice is based on ideas of self-management and is conveyed during clinical assessment as “activity regulation.” Based on ethnographic fieldwork in a hospital clinic in Norway, we show how these patients attempt to demonstrate their competences and everyday concerns, and how the ideology of self-management frames the hope for recovery and crafts a subject with the ability to improve. Patients, however, linger between everyday social predicaments and ideals of healthy living, and are caught up in cultural models of care that deflect everyday concerns and agency.

摘要

慢性疲劳患者接受改善症状管理和健康的建议。该建议基于自我管理的思想，并在临床评估期间以“活动调节”的形式传达。基于在挪威一家医院诊所进行的民族志实地考察，我们展示了这些患者如何尝试展示他们的能力和日常关注的问题，以及自我管理的意识形态如何构建康复的希望并塑造具有改进能力的受试者。然而，患者在日常的社会困境和健康生活的理想之间徘徊，并陷入转移日常关注和代理的文化护理模式中。