Bolden-etal2020
Bolden-etal2020 | |
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BibType | INCOLLECTION |
Key | Bolden-etal2020 |
Author(s) | Galina B. Bolden, Alexa Hepburn, Beth Angell |
Title | Engaging with Clients’ Requests for Medication Changes in Psychiatry |
Editor(s) | Camilla Lindholm, Melisa Stevanovic, Elina Weiste |
Tag(s) | EMCA, Request sequences, Medication changes, Shared decision making |
Publisher | Palgrave Macmillan |
Year | 2020 |
Language | English |
City | Cham |
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Pages | 165-186 |
URL | Link |
DOI | 10.1007/978-3-030-43531-8_7 |
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Book title | Joint Decision Making in Mental Health: John Benjamins |
Chapter |
Abstract
This chapter explores how psychiatrists and clients negotiate treatment regimens by analyzing how medication decisions unfold when clients with severe mental illnesses (schizophrenia, bipolar disorders, etc.,) advocate for their treatment preferences. The focus is on how the psychiatrist responds to clients’ requests for changes in their medication regimen, e.g., requests to eliminate or lower dosages of psychotropic medications or to prescribe a new medication. The analysis presents two alternative interactional trajectories clients’ requests for medication changes may engender—a serious engagement with the request and its outright dismissal—and explores interactional practices through which the psychiatrist works to validate clients’ active participation in their care.
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