Title:
|
Agoraphobia : mental disorder or societal constraint? : a gendered exploration of symptoms of agoraphobia in a non-clinical population
|
The first aim of the research was to extend the work of Gelfond (1991) to consider how far the
symptoms of agoraphobia were present in a non-clinical sample of males and females. This was
achieved using both statistical and qualitative (Interpretative Phenomenological Analysis)
methods. The results indicated that both male and female participants' experience discomfort
when alone in public places on a continuum with clinical descriptions of agoraphobia. Two
differences between clinical and non-clinical accounts were identified. The first being that
differences appeared to be dimensional (e. g. intensity, preoccupation). Secondly, non-clinical
participants' accounts did not describe 'catastrophic misinterpretations' of physiological arousal as
seen in clinical accounts.
The second aim of the research related to how a gender analysis of male and female participants'
accounts of their use of public places alone would contribute to our understanding of
agoraphobia. Statistical results suggested that only female participants were significantly
avoidant of public places alone compared to when they were accompanied. In addition, three
qualitative tools of analysis (Interpretative Phenomenological Analysis, Rhetorical Discourse
Analysis and Foucauldian Analysis) were adopted. These analyses highlighted social processes
by which lone women may experience greater discomfort than lone men in public places, as well
as exploring how such processes predispose males and females to react to discomfort in different
ways. It is argued that these social processes 'prepare' women, in particular, for anxiety and
avoidance on a continuum with symptoms of agoraphobia. This in turn provides an explanation
as to why the majority of those diagnosed with agoraphobia are women. This poses questions
for the assertion in DSM IV (American Psychiatric Association, 1994) that social practices that
restrict women's use of public places should be distinguished from agoraphobia. Clinical and
research implications are discussed.
|