The Depressed" and "People with Anxiety" therapists' discursive representations of patients with depression and anxiety in Danish Psychiatry
Bibliographic Data
| ID | 4218092 |
|---|---|
| Authors | Anne Bryde Bryde Christensen (0000-0002-3087-8311, Center for Eating and Feeding Disorders Research, Capital Region of Denmark & Mental Health Services Region Zealand, Denmark, corresponding author), Karoline Dyrloev (University of Copenhagen), Michaela Hoej (0000-0003-2784-2155, Capital Region of Denmark Mental Health Services, Denmark), Stig Poulsen (0000-0002-0536-1820, University of Copenhagen), Nina Reinholt (0000-0002-5117-9376), Arnfred (0000-0001-5375-4226, Mental Health Services Region Zealand, Denmark) |
| Year | 2024 |
| Volume | 28 |
| Issue | 3 |
| Pages | 390-411 |
| Publication date | 2024-05-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL) |
| Journal identifiers | ISSN: 1363-4593 • E-ISSN: 1461-7196 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/13634593231173802 |
| PMID | 37191112 |
| OpenAlex | W4376641891 |
| Language | EN |
| Citations received | 2 |
| References cited | 43 |
Stigmatization within mental health care has previously been identified, and some diagnoses have been shown to be particularly exposed to negative attitudes and stigma. However, no previous studies have explored practitioners' discursive construction of patients with different diagnoses within a transdiagnostic group context. We performed discourse analysis on 12 interviews with Danish mental health practitioners, who had been conducting either transdiagnostic psychotherapy (The Unified Protocol) or standard group cognitive behavioral therapy (CBT) with patients treated for anxiety disorders or major depressive disorder. The purpose of this study was to identify how patients with anxiety and depression were represented by therapists. We identified a "training discourse," within which patients were evaluated through perceived motivation, responsibility, active participation, and progression. We argue that this training discourse can be related to a broader neoliberal order of discourse valuing efficiency and agency. The analysis indicated that patients with anxiety were sometimes "favorized" over patients with depression, and it is argued that the neoliberal order of discourse and pre-assumptions related to the diagnoses are contributing to this. The interviews indicate that multiple discourses were applied when describing patients, and ambivalence was often detectable. We discuss the findings of the analysis in relation to therapists' general critical attitudes toward the psychiatric system and in relation to broader societal tendencies
Ambivalence · Anxiety · Danish · Discourse analysis · Mental health · Psychiatry · Psychotherapist · Sociology · Clinical Psychology · Mental Health and Patient Involvement · Mental Health Treatment and Access · Psychiatric care and mental health services · Psychology · Social Psychology
Discourse analysis and social construction
Diagnostic and Statistical Manual of Mental Disorders
The ‘side effects’ of medicalization
Evolution of public attitudes about mental illness
Interventions to reduce stigma towards people with severe mental illness
Mental health stigma as social attribution
Stigma
Discourse and social change
Inventing our Selves
Does one treatment benefit all? Patients’ experiences of standardized group CBT for anxiety and depression
The Sovereign Consumer
Enhanced quality or assembly lines? Psychiatric treatment packages in Denmark
New Public Management Reforms of the Danish and Swedish Welfare States
Brief History of Neoliberalism
The social constructionist movement in modern psychology
"Caught Between a Rock and a Hard Place"-Between Discourses of Empowerment and Solicitude
How do patients come to be seen as 'difficult
Hell no, they'll think you're mad as a hatter
Does "difficult patient" status contribute to de facto demedicalization? The case of borderline personality disorder
Chronic' identities in mental illness
| Citations per year | 1 |
|---|---|
| Citation span | 2024 - 2025 (2) |
| Highly cited | No |