How clients solicit medication changes in psychiatry
Bibliographic Data
| ID | 2249495 |
|---|---|
| Authors | G B Bolden (0000-0002-7898-1246, Rutgers, the State University of New Jersey, corresponding author), Beth Angell (0000-0001-7342-7214, Virginia Commonwealth University Richmond VA USA), A Hepburn (0000-0001-6564-6310, Rutgers, the State University of New Jersey) |
| Year | 2019 |
| Volume | 41 |
| Issue | 2 |
| Pages | 411-426 |
| Publication date | 2019-02-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociology of Health & Illness (JOURNAL) |
| Journal identifiers | ISSN: 0141-9889 • E-ISSN: 1467-9566 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1467-9566.12843 |
| PMID | 30671991 |
| OpenAlex | W2913658012 |
| Language | EN |
| Citations received | 11 |
| References cited | 57 |
In psychiatry, practitioners are encouraged to adopt a patient-centred approach that emphasises shared decision-making. In this article, we investigate how clients with severe mental illnesses (e.g. schizophrenia) advocate for their treatment preferences in psychiatric consultations. The study uses Conversation Analysis to examine audio-recorded medication check appointments in a comprehensive treatment programme known as assertive community treatment (ACT). The analysis shows that clients solicit medication changes at activity boundaries and design them in one of the following ways: reporting a physical problem; reporting a medication problem; explicitly requesting a medication change; and demanding a change. These formats put pressure on the psychiatrist to respond by either offering a solution to the client's problem or by accepting or rejecting the client's request. Through a detailed analysis of clients' communicative behaviours, we show that, in soliciting a medication change, clients ordinarily respect boundaries of medical authority and present themselves as 'good' patients who are reliable witnesses of their own experiences. Overall, the paper advances our understanding of patient advocacy in psychiatry and mental health interactions more generally
Assertive community treatment · Assertiveness · Conversation · Mental health · Mental illness · Psychiatric medication · Psychiatry · Psychotherapist · Schizophrenia (object-oriented programming · Counseling, Therapy, and Family Dynamics · Interpreting and Communication in Healthcare · Language, Discourse, Communication Strategies · Psychology
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| Unique citing works | 11 |
|---|---|
| Citations per year | 2,2 |
| Citation span | 2021 - 2025 (5) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 11 |