Joint Decision Making in Mental Health

This volume studies joint decision making in mental health care contexts through an in-depth examination of the negotiations of power and authority at the level of turn-by-turn sequential unfolding of interaction.
Bringing together research at the intersection of mental health, discourse and conversation analysis it examines a wide range of settings including chronic psychiatric visits, rehabilitation meetings, occupational therapy encounters and cognitive behavioral therapy appointments. It presents a series of studies which reveal in close detail the joint decision-making processes in these critical encounters by using naturally occurring video-recorded interactions from a range of health service settings as data. In so doing, it sheds light on the interactional practices of health care workers that may facilitate or discourage client participation in joint decision-making processes.
The book will provide important insights for academics and practitioners working in the fields of psychology, psychotherapy, applied linguistics, nursing, social work and rehabilitation; and in particular for those specializing in psychiatry and mental health.

Adopts an interactional approach to examine joint decision making in a variety of mental health care settings Brings together research at the intersection of mental health, discourse and conversation analysis Reveals the interactional practices of health care workers that may facilitate or discourage client participation in joint decision-making processes Argues that critical examination of joint decision making is crucial to providing more inclusive and successful rehabilitation environments

Autorentext

Camilla Lindholm is Professor of Nordic languages at Tampere University, Finland. Professor Lindholm's main research areas are interaction in institutional settings and linguistically asymmetric interaction. Her methodological approaches are conversation analysis and interactional linguistics, and she takes an interest in applying her research findings and creating a dialogue with society.
Melisa Stevanovic is Senior Lecturer in Sociology at the University of Helsinki, Finland. Dr. Stevanovic has conducted a long series of studies on collaborative decision-making in both naturally occurring interactions and experimental settings. She has also published on the topic of interactional deficits and experiences of interaction, specifically in the context of autism spectrum disorders.
Elina Weiste is Researcher at The Finnish Institute of Occupational Health, Finland. Dr. Weiste has a background as an occupational therapist in psychiatric rehabilitation and has extensive knowledge of individuals with mental illness and their training in social skills. She earned her PhD on therapeutic interaction and has vast experience in training clinical professionals.

Inhalt

Chapter 1: Introduction: Social inclusion as an interactional phenomenon.- Chapter 2: Promoting client participation and constructing decisions in mental health rehabilitation meetings.- Chapter 3: Attending to Parent and Child Rights to Make Medication Decisions during Pediatric Psychiatry Visits.- Chapter 4: Clients' resistance to therapists' proposals: Managing epistemic and deontic status in Cognitive Behavioural Therapy sessions.- Chapter 5: Clients' Practices for Resisting Treatment Recommendations in Japanese Outpatient Psychiatry.- Chapter 6: Taking a proposal seriously: Orientations to agenda and agency in support workers' responses to client proposals.- Chapter 7: Engaging with Clients' Requests for Medication Changes in Psychiatry.- Chapter 8: Writing: A Versatile Resource in the Treatment of the Clients' Proposals.- Chapter 9: What do you think? Interactional boundary making between 'you' and 'us' as a resource to elicit client participation.- Chapter 10: Co-Constructing Desired Activities: Small-Scale Activity Decisions in Occupational Therapy.- Chapter 11: Affective Processes of Joint Meaning-Making in Couple Therapy.- Chapter 12: Standards of Interaction in Mental Health Rehabilitation: The Case of Consensus-Based Decisions.