Standards of Interaction in Mental Health Rehabilitation: The Case of “Consensus-Based” Decisions

Tutkimustuotos: Artikkeli kirjassa/raportissa/konferenssijulkaisussaKirjan luku tai artikkeliTieteellinenvertaisarvioitu


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.
OtsikkoJoint Decision Making in Mental Health : An Interactional Approach
ToimittajatCamilla Lindholm, Melisa Stevanovic, Elina Weiste
KustantajaPalgrave Macmillan
ISBN (painettu)978-3-030-43530-1
ISBN (elektroninen)978-3-030-43531-8
DOI - pysyväislinkit
TilaJulkaistu - 2020
OKM-julkaisutyyppiA3 Kirjan tai muun kokoomateoksen osa


NimiThe Language of Mental Health
KustantajaPalgrave Macmillan


  • 5141 Sosiologia
  • 6121 Kielitieteet


Participation, joint decision-making, and social interaction deficits

Stevanovic, M., Tuhkanen, S. & Valkia, K. M.

Helsingin yliopisto


Projekti: Helsingin yliopiston kolmivuotinen tutkimushanke

Siteeraa tätä

Valkeapää, T., Stevanovic, M., Weiste, E., & Lindholm, C. (2020). Standards of Interaction in Mental Health Rehabilitation: The Case of “Consensus-Based” Decisions. teoksessa C. Lindholm, M. Stevanovic, & E. Weiste (Toimittajat), Joint Decision Making in Mental Health: An Interactional Approach (Sivut 275-303). (The Language of Mental Health). Palgrave Macmillan.