This article offers a qualitative analysis of two instances of troubles-telling threads on a diabetes forum, with a specific focus on how these instances contribute to constructing a way to manage others’ expectations concerning how persons diagnosed with diabetes control their condition. From the perspective of conversation analysis and discursive psychology, this article shows some recurrent features of both troubles-telling (namely announcement, stake inoculation and self-deprecation) and of troubles-receiving (namely appreciation, second stories, escalation). Our analysis furthermore shows how inadequate expectations from family members are judged differently from those of health professionals. The latter are judged more harshly for what seems a lack of professional competence, whereas the former are more easily pardoned but pose a particular challenge in that patients do not wish to remove these persons from their lives. Through this analysis, we contribute to showing a particularly important function of patient fora, namely allowing patients to tell troubles about others’ expectations and to receive support and advice for these circumstances that put a heavy emotional burden.

中文翻译：

---

糖尿病论坛用户如何抱怨他人的期望：讲述麻烦和接收麻烦

本文对糖尿病论坛上两个诉苦话题的实例进行了定性分析，特别关注这些实例如何有助于构建一种方法来管理他人对被诊断为糖尿病的人如何控制病情的期望。本文从对话分析和话语心理学的角度，展示了诉麻烦（即宣布、注入风险和自嘲）和接受麻烦（即欣赏、第二故事、升级）的一些反复出现的特征。我们的分析还表明，对家庭成员期望不足的判断与卫生专业人员的期望不同。后者因似乎缺乏专业能力而受到更严厉的评判，而前者更容易被赦免，但带来了特殊的挑战，因为患者不希望将这些人从他们的生活中剔除。通过这一分析，我们有助于展示患者论坛的一项特别重要的功能，即允许患者诉说他人的期望的麻烦，并在这些造成沉重情感负担的情况下获得支持和建议。