Mental Health Professionals' Positions in Relation to Advance Statements
A Foucauldian Discourse Analysis
Bibliographic Data
| ID | 4612931 |
|---|---|
| Authors | Andrew Gumley (0000-0002-8888-938X, University of Glasgow, Glasgow, United Kingdom), Ali Glasgow (0000-0002-4071-8952, University of Glasgow, Glasgow, United Kingdom, corresponding author), Gordon Mcinnes (Mental Health Network Greater Glasgow and Clyde, Suite 11, Templeton House, Templeton Business Centre, 62 Temple Street, Glasgow, G401DA), Gordon T McInnes (Health Net), Calum Jackson (Inpatient Psychology Services, Dykebar Hospital, Grahamston Road, Paisley, PA2 7DE) |
| Year | 2021 |
| Volume | 31 |
| Issue | 13 |
| Pages | 2378-2389 |
| Publication date | 2021-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/10497323211036893 |
| PMID | 34382884 |
| OpenAlex | W3189479984 |
| Language | EN |
| Citations received | 2 |
| References cited | 58 |
Advance Statements enable mental health patients to have their preferences considered in treatment decisions in the event of losing capacity, but their uptake is poor. This is for complex and often conflicting reasons and factors related to service user, clinician, and institutional priorities, which influence clinical practice. A Foucauldian discourse analysis approach was used to explore how 13 mental health clinicians positioned their role in relation to Advance Statements. Five positions emerged from the data: taking account of peoples' wishes, enabling people to have their say (to a point), we know what's best, firefighting with risk, and leverage and liability. Discursive practices demonstrated and reinforced power relations between patients, clinicians, and wider systems. These findings highlight the challenge of legitimizing the knowledge of patients and need for a cultural shift at a systems level, which recognizes the ways Advance Statements meet the needs of all stakeholders
Discourse analysis · Liability · Mental health · Political science · Psychiatry · Public relations · Sociology · Computer Science · Healthcare Decision-Making and Restraints · Law · Mental Health and Patient Involvement · Mental Health and Psychiatry · Psychology · Social Psychology
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| Unique citing works | 2 |
|---|---|
| Citations per year | 0,67 |
| Citation span | 2023 - 2024 (2) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |