Angell2015
| Angell2015 | |
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| BibType | ARTICLE |
| Key | Angell2015 |
| Author(s) | Beth Angell, Galina B. Bolden |
| Title | Justifying medication decisions in mental health care: Psychiatrists’ accounts for treatment recommendations. |
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| Tag(s) | Needs Review, In press, EMCA, Medical EMCA, United States, psychiatry, mental health, Assertive Community Treatment, accounts, Conversation Analysis, medical recommendations, shared decision-making |
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| Year | 2015 |
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| Journal | Social Science & Medicine |
| Volume | |
| Number | In press |
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Abstract
Psychiatric practitioners are currently encouraged to adopt a patient centered approach that emphasizes the sharing of decisions with their clients, yet recent research suggests that fully collaborative decision making is rarely actualized in practice. This paper uses the methodology of Conversation Analysis to examine how psychiatrists justify their psychiatric treatment recommendations to clients. The analysis is based on audio-recordings of interactions between clients with severe mental illnesses (such as, schizophrenia, bipolar disorders, etc.) in a longterm, outpatient intensive community treatment program and their psychiatrist. Our focus is on how practitioners design their accounts (or rationales) for recommending for or against changes in medication type and dosage and the interactional deployment of these accounts. We find that psychiatrists use
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