Difference between revisions of "Kushida-Yamakawa2020"

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Latest revision as of 12:06, 6 July 2020

Kushida-Yamakawa2020
BibType INCOLLECTION
Key Kushida-Yamakawa2020
Author(s) Shuya Kushida, Yuriko Yamakawa
Title Clients’ Practices for Resisting Treatment Recommendations in Japanese Outpatient Psychiatry
Editor(s) Camilla Lindholm, Melisa Stevanovic, Elina Weiste
Tag(s) EMCA, Japanese, Japan, Resistance, Client participation, Agency, Authority, Medication adjustment, Outpatient consultation
Publisher
Year 2020
Language English
City
Month
Journal
Volume
Number
Pages 115-140
URL Link
DOI https://doi.org/10.1007/978-3-030-43531-8_5
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title Joint Decision Making in Mental Health
Chapter

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Abstract

Clients’ orientation to professional authority has been proposed as a way to explain their reluctance to participate actively in medical decision-making. This study describes some of the practices clients use to resist psychiatrists’ treatment recommendations in outpatient psychiatric consultations in Japan. It focuses on how the clients’ resistance practices influence the way the psychiatrist proceeds with the decision-making. The data analysis shows that while clients consistently avoid intruding into psychiatrists’ professional authority, clients methodically navigate the decision-making sequence toward a decision that is sensitive to their preference and concerns. This study argues that clients exert agency in treatment negotiations through practices to resist recommendations, and that these practices can be regarded as important opportunities for enhancing client participation in decision-making.

Notes