Kuvaus
Methods: Using qualitative and quantitative applications of conversation analysis, we compared patient–clinician interaction in five usual psychiatric assessments (AAU) with five assessment interviews based on dialogical sequence analysis (DSA).
Results: The frequency of conversational sequences where the patient described his/her problematic experiences was higher in the DSA interviews than in the AAU interviews. In DSA, the clinicians typically facilitated the patient’s subjective experience talk by experience-focused questions and formulations, whereas in AAU, such talk typically occurred in environments where the clinicians’ questions and formulations focused on non-experiential, medical matters.
Conclusion: Interaction in DSA was organized to provide for the patient’s experience-focused talk, whereas in AAU, the patient needed to go against the conversational grain to produce such talk.
Practice implications: By facilitating patients’ opportunities to uncover subjective experiences, it is possible to promote their individualized care planning in psychiatry.
| Alkuperäiskieli | englanti |
|---|---|
| Lehti | Patient Education and Counseling |
| Vuosikerta | 102 |
| Numero | 7 |
| Sivut | 1296-1303 |
| Sivumäärä | 8 |
| ISSN | 0738-3991 |
| DOI - pysyväislinkit | |
| Tila | Julkaistu - 2019 |
| OKM-julkaisutyyppi | A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä, vertaisarvioitu |
Tieteenalat
- 5141 Sosiologia
- 515 Psykologia
Lainaa tätä
}
Offering patients opportunities to reveal their subjective experiences in psychiatric assessment interviews. / Savander, Enikö; Weiste, Elina; Hintikka, Jukka; Leiman, Mikael; Valkeapää, Taina Jenni Marika; Heinonen, Erkki Olavi; Peräkylä, Anssi Matti.
julkaisussa: Patient Education and Counseling, Vuosikerta 102, Nro 7, 2019, s. 1296-1303.Tutkimustuotos: Artikkelijulkaisu › Artikkeli › Tieteellinen › vertaisarvioitu
TY - JOUR
T1 - Offering patients opportunities to reveal their subjective experiences in psychiatric assessment interviews
AU - Savander, Enikö
AU - Weiste, Elina
AU - Hintikka, Jukka
AU - Leiman, Mikael
AU - Valkeapää, Taina Jenni Marika
AU - Heinonen, Erkki Olavi
AU - Peräkylä, Anssi Matti
PY - 2019
Y1 - 2019
N2 - Objective: With the intention of understanding the dynamics of psychiatric interviews, we investigated the usual (DSM/ICD-based) psychiatric assessment process and an alternative assessment process based on a case formulation method. We compared the two different approaches in terms of the clinicians’ practices for offering patients opportunities to reveal their subjective experiences.Methods: Using qualitative and quantitative applications of conversation analysis, we compared patient–clinician interaction in five usual psychiatric assessments (AAU) with five assessment interviews based on dialogical sequence analysis (DSA).Results: The frequency of conversational sequences where the patient described his/her problematic experiences was higher in the DSA interviews than in the AAU interviews. In DSA, the clinicians typically facilitated the patient’s subjective experience talk by experience-focused questions and formulations, whereas in AAU, such talk typically occurred in environments where the clinicians’ questions and formulations focused on non-experiential, medical matters.Conclusion: Interaction in DSA was organized to provide for the patient’s experience-focused talk, whereas in AAU, the patient needed to go against the conversational grain to produce such talk.Practice implications: By facilitating patients’ opportunities to uncover subjective experiences, it is possible to promote their individualized care planning in psychiatry.
AB - Objective: With the intention of understanding the dynamics of psychiatric interviews, we investigated the usual (DSM/ICD-based) psychiatric assessment process and an alternative assessment process based on a case formulation method. We compared the two different approaches in terms of the clinicians’ practices for offering patients opportunities to reveal their subjective experiences.Methods: Using qualitative and quantitative applications of conversation analysis, we compared patient–clinician interaction in five usual psychiatric assessments (AAU) with five assessment interviews based on dialogical sequence analysis (DSA).Results: The frequency of conversational sequences where the patient described his/her problematic experiences was higher in the DSA interviews than in the AAU interviews. In DSA, the clinicians typically facilitated the patient’s subjective experience talk by experience-focused questions and formulations, whereas in AAU, such talk typically occurred in environments where the clinicians’ questions and formulations focused on non-experiential, medical matters.Conclusion: Interaction in DSA was organized to provide for the patient’s experience-focused talk, whereas in AAU, the patient needed to go against the conversational grain to produce such talk.Practice implications: By facilitating patients’ opportunities to uncover subjective experiences, it is possible to promote their individualized care planning in psychiatry.
KW - 5141 Sociology
KW - 515 Psychology
U2 - 10.1016/j.pec.2019.02.021
DO - 10.1016/j.pec.2019.02.021
M3 - Article
VL - 102
SP - 1296
EP - 1303
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 7
ER -