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Justifying medication decisions in mental health care: psychiatrists’ accounts for treatment recommendations

Descriptive

TypeOfResource
Text
TitleInfo
Title
Justifying medication decisions in mental health care: psychiatrists’ accounts for treatment recommendations
Identifier (type = pmcid)
PMC4595152
Name (authority = orcid); (authorityURI = http://id.loc.gov/vocabulary/identifiers/orcid.html); (type = personal); (valueURI = http://orcid.org/0000-0001-7342-7214)
NamePart (type = family)
Angell
NamePart (type = given)
Beth
Affiliation
School of Social Work, Rutgers University
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (authority = orcid); (authorityURI = http://id.loc.gov/vocabulary/identifiers/orcid.html); (type = personal); (valueURI = http://orcid.org/0000-0002-7898-1246)
NamePart (type = family)
Bolden
NamePart (type = given)
Galina
Affiliation
Dean's Office (School of Communication and Information), Rutgers University
Role
RoleTerm (authority = marcrt); (type = text)
author
Name (authority = RutgersOrg-School); (type = corporate)
NamePart
School of Social Work
Name (authority = RutgersOrg-Department); (type = corporate)
NamePart
Dean's Office (School of Communication and Information)
Name (authority = RutgersOrg-School); (type = corporate)
NamePart
School of Communication and Information (SC&I)
Name (authority = RutgersOrg-School); (type = corporate)
NamePart
Institute for Health, Health Care Policy and Aging Research (IHHCPAR)
Genre (authority = RULIB-FS)
Article, Refereed
Genre (authority = NISO JAV)
Accepted Manuscript (AM)
Note (type = peerReview)
Peer reviewed
Note (type = general note)
Available online 29 April 2015 and published in the August 2015 issue, according to the publisher's website.
OriginInfo
Publisher
Elsevier
DateIssued (encoding = w3cdtf); (keyDate = yes)
2015
PhysicalDescription
InternetMediaType
application/pdf
Extent
41 p.
Extension
DescriptiveEvent
Type
Citation
DateTime (encoding = w3cdtf)
2015
AssociatedObject
Name
Social Science & Medicine
Type
Journal
Relationship
Has part
Detail
44-56
Identifier (type = volume and issue)
138,
Reference (type = url)
http://dx.doi.org/10.1016/j.socscimed.2015.04.029
Extension
DescriptiveEvent
Type
Grant award
AssociatedEntity
Role
Funder
Name
National Institutes of Health
AssociatedEntity
Role
Originator
Name
Patrick Corrigan
AssociatedObject
Type
Grant number
Name
NIMH P20MH085981
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Subject (authority = LCSH)
Topic
Psychiatry
Subject (authority = LCSH)
Topic
Mental health
Subject (authority = local)
Topic
Assertive community treatment
Subject (authority = local)
Topic
Accounts
Subject (authority = local)
Topic
Conversation analysis
Subject (authority = local)
Topic
Medical recommendations
Subject (authority = local)
Topic
Shared decision-making
Subject (authority = lcsh/lcnaf)
Geographic
United States
Abstract (type = 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 long-term, 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 two different types of accounts: they tailor their recommendations to the clients' concerns and needs (client-attentive accounts) and ground their recommendations in their professional expertise (authority-based accounts). Even though psychiatrists have the institutional mandate to prescribe medications, we show how the use of accounts displays psychiatrists' orientation to building consensus with clients in achieving medical decisions by balancing medical authority with the sensitivity to the treatment relationship.
Note (type = special display note)
Author's Manuscript is available open access in PubMed Central: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4595152/pdf/nihms720125.pdf.
RelatedItem (type = host)
TitleInfo
Title
Angell, Beth
Identifier (type = local)
rucore30172400001
RelatedItem (type = host)
TitleInfo
Title
Bolden, Galina
Identifier (type = local)
rucore30174200001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3PV6N93
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Rights

RightsDeclaration (AUTHORITY = FS); (ID = rulibRdec0004)
Copyright for scholarly resources published in RUcore is retained by the copyright holder. By virtue of its appearance in this open access medium, you are free to use this resource, with proper attribution, in educational and other non-commercial settings. Other uses, such as reproduction or republication, may require the permission of the copyright holder.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
RightsEvent
Type
Permission or license
AssociatedObject
Type
License
Name
Multiple author license v. 1
Detail
I hereby grant to Rutgers, The State University of New Jersey (Rutgers) the non-exclusive right to retain, reproduce, and distribute the deposited work (Work) in whole or in part, in and from its electronic format, without fee. This agreement does not represent a transfer of copyright to Rutgers.Rutgers may make and keep more than one copy of the Work for purposes of security, backup, preservation, and access and may migrate the Work to any medium or format for the purpose of preservation and access in the future. Rutgers will not make any alteration, other than as allowed by this agreement, to the Work.I represent and warrant to Rutgers that the Work is my original work. I also represent that the Work does not, to the best of my knowledge, infringe or violate any rights of others.I further represent and warrant that I have obtained all necessary rights to permit Rutgers to reproduce and distribute the Work and that any third-party owned content is clearly identified and acknowledged within the Work.By granting this license, I acknowledge that I have read and agreed to the terms of this agreement and all related RUcore and Rutgers policies.
RightsEvent
Type
Permission or license
AssociatedObject
Type
License
Name
Submission agreement v. 1
Detail
I am submitting my own manuscript:Grant Compliance - I am submitting an electronic version of my final manuscript that is the result of research supported, in whole or in part, with direct costs by the National Institutes of Health. This submission is voluntary and fulfills the existing requirement to provide publications as part of NIH project progress reports. Public Release - I permit public release of this manuscript via PubMed Central available after any applicable embargo period prescribed by the journal in which it appeared. Copyright Compliance - This public release permission is consistent with any copyright agreement about this manuscript that I have made with the journal publisher.
RightsEvent
Type
Embargo
DateTime (point = start); (encoding = w3cdtf)
2015-08-01
DateTime (point = end); (encoding = w3cdtf)
2018-07-31
Detail
Access to this PDF has been restricted at the publisher's request. It will be available after July 31, 2018.
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Technical

RULTechMD (ID = TECHNICAL1)
ContentModel
Document
CreatingApplication
Version
1.3
DateCreated (encoding = w3cdtf); (point = start); (qualifier = exact)
2015-04-28T12:16:40
DateCreated (encoding = w3cdtf); (point = end); (qualifier = exact)
2017-08-04T11:49:43
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Mac OS X 10.6.8 Quartz PDFContext
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