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JYX > Artikkelit > Yhteiskuntatieteellinen tiedekunta 31.12.2016 saakka > View Item

Psychosis, Need Adapted treatment, and psychiatrists' agency

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Borchers, P., Seikkula, J., & Lehtinen, K. (2014). Psychosis, Need Adapted treatment, and psychiatrists' agency. Psychosis: Psychological, Social and Integrative Approaches, 6(1), 27-37. https://doi.org/10.1080/17522439.2012.755218
Published in
Psychosis: Psychological, Social and Integrative Approaches
Authors
Borchers, Pekka |
Seikkula, Jaakko |
Lehtinen, Klaus
Date
2014
Discipline
PsykologiaPsychology
Copyright
© 2014 Taylor & Francis Group

 
Background: In the Need-Adapted approach (NAA) therapy meetings are a deliberate effort to bring all meaningful parties and views to a common discussion prior to decisions; this constitutes a challenge for psychiatrists’ agency. Aims: To describe how psychiatrists see their agency in NAA. Methods: Using videos of co-research interviews, stimulated-recall interviews of 10 interviewees were conducted and transcribed verbatim. The material was analyzed via an adapted dialogical-narrative analytical method. Results: Institutional forces were experienced as having an enormous impact on psychiatrists’ agency, especially in the inpatient setting, reducing professional creativity. In the outpatient setting, psychiatrists who also attended hospital care were the most able to follow the principles of NAA. Those who only took part in outpatient treatment tended to adopt the position of medical consultants. Conclusions: The ability of psychiatrists to have agency in the language used with the clients is an underrated issue. The interview methods used in the research could be utilized in practice. ...
Publisher
Routledge
ISSN Search the Publication Forum
1752-2447
Keywords
psykoosi Tarpeenmukainen hoito sisäinen dialogi lääkärin toimijuus psychosis Need-Adapted treatment inner dialogue psychiatrists’ agency
DOI
https://doi.org/10.1080/17522439.2012.755218
URI

http://urn.fi/URN:NBN:fi:jyu-201607213652

Publication in research information system

https://converis.jyu.fi/converis/portal/detail/Publication/22394436

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