ABSTRACT

In this article, I would like to consider the contribution of discourse analysis to ethnography in mental health settings. I am particularly interested in how a discourse analysis of in situ interviews can offer an important perspective to ethnographic exploration of mental health services. This theoretical consideration is complemented with two sets of data. On the one hand, it is based on an ethnographic insight into the practices in an elite Polish psychiatric hospital; on the other hand, it is based on service users’ account of the initial psychiatric interviews carried out immediately after their admission onto a ward in the hospital. All the interviewees had a preliminary diagnosis of the depressive disorder (ICD10 F32–33). I am going to demonstrate a hiatus between the ethnographic account of the practices observed through an ethnographic study and their constructions in the service users’ narratives. In this process, I am going to argue that discourse analysis is a crucial complement to an ethnographic study.