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Obstacles to Shared Decision-Making in Psychiatric Practice. Findings from three qualitative, observational studies
В наличии
Местонахождение: Алматы | Состояние экземпляра: новый |
Бумажная
версия
версия
Автор: Alan Quirk
ISBN: 9783659752278
Год издания: 2015
Формат книги: 60×90/16 (145×215 мм)
Количество страниц: 496
Издательство: LAP LAMBERT Academic Publishing
Цена: 45471 тг
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Аннотация: The interactions involved in trying to achieve shared decision-making are relatively unexplored in psychiatric practice. This book brings together findings from three in-depth, qualitative studies of psychiatric practice in the U.K. Particular attention is paid to how patients’ choices about their treatment are facilitated or constrained by the actions of mental health professionals, both in routine encounters (outpatient consultations) and crisis situations (assessments for compulsory admission to hospital, and ward rounds in acute hospitals). In some psychiatric contexts the threat of compulsion is overt or barely concealed, making the ideal of shared decision-making very difficult to achieve. The value of qualitative, observational methods lies in their capacity to reveal the nuanced differences between decisions that are experienced by participants as real shared decisions, and those experienced as a subtle form of manipulation. Clinically this is important because the positive effects of shared decision-making (e.g. adherence to prescribing) will be lost if shared decisions are not experienced as such by the service user involved.
Ключевые слова: Conversation Analysis, ethnography, mental health, Participant Observation, permeability, Psychiatric hospital, Psychiatrist, Psychiatry, qualitative, resistance, Social work, social worker, U.K., shared decision, acute ward, ward round, mental health act assessment, service user, permeable institution, total institution, compulsory admission, compulsion