Valkeapaa-etal2020

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Valkeapaa-etal2020
BibType INCOLLECTION
Key Valkeapaa-etal2020
Author(s) Taina Valkeapää, Melisa Stevanovic, Elina Weiste, Camilla Lindholm
Title Standards of Interaction in Mental Health Rehabilitation: The Case of “Consensus-Based” Decisions
Editor(s) Camilla Lindholm, Melisa Stevanovic, Elina Weiste
Tag(s) EMCA, Consensus, Decision making, Mental health, Rehabilitation
Publisher Palgrave Macmillan
Year 2020
Language English
City Cham
Month
Journal
Volume
Number
Pages 275-303
URL Link
DOI 10.1007/978-3-030-43531-8_12
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title Joint Decision Making in Mental Health: An Interactional Approach
Chapter

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Abstract

The Clubhouse model of rehabilitation offers communal support for people with mental illness. Clubhouses worldwide are guided by standards prescribing that decisions in the community should be made “generally by consensus.” Drawing on a data set of 29 group meetings at one Clubhouse, the study explores how the ideal of consensus-based decisions is sought after through interactional practices. Before the actual decision-making, support workers draw on local contingencies to frame the situation prospectively as one that will involve consensus. During the decision-making, support workers take responsibility for achieving the outcome with non-opposition. They reformulate proposals for integrating different views and halt the interaction in situations in which the discussion on the disagreements is in danger of being bypassed. Support workers also explicitly define decision-making as a collective endeavor and initiate an evaluation round after the decision that frames the process retrospectively has been established as matching with the ideal.

Notes