Ideals of joint decision making in clubhouse communities.

IF 1.8 3区 医学 Q3 PSYCHIATRY Psychiatric Rehabilitation Journal Pub Date : 2024-09-01 DOI:10.1037/prj0000626
Kati Mäntysaari, Melisa Stevanovic, Elina Weiste, Jenny Paananen, Camilla Lindholm
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Abstract

Objective: This article explores the ideological dilemmas of decision making identified in members' and staff's talk in Clubhouse communities.

Method: The data are drawn from a corpus of 10 video-recorded focus group interviews with Clubhouse members and staff, which were collected at five Finnish Clubhouses in 2020. The method used is discursive psychology, and the analysis identifies interpretative repertoires and ideological dilemmas.

Results: Clubhouse members and staff express diverse opinions regarding decision making at the Clubhouse. We identified six interpretative repertoires and three ideological dilemmas between these repertoires. The first dilemma deals with participation and efficiency, advancing the idea that everybody should be allowed to participate in decision making, but the decision making should be efficient. The second dilemma regards the passivity or activity of the participants, suggesting that decision-makers should be allowed to be themselves, but participation in decision making requires activity. The third dilemma is associated with power structures in decision making, proposing that joint decision making requires active resistance against power structures, but these structures are both inexorable and partially necessary.

Conclusions and implications for practice: In introducing a discursive perspective to joint decision making in the Clubhouse community, this study makes visible the conflicting ideals of decision making. The acknowledgment of these dilemmas can guide interventions aiming at improving genuinely participatory joint decision-making practices at the Clubhouse. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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会所社区共同决策的理想。
目的本文探讨了会所社区中会员和员工谈话中发现的决策意识形态困境:数据取自 2020 年在芬兰五家会所收集的 10 个焦点小组访谈视频资料库,访谈对象为会所成员和工作人员。采用的方法是话语心理学,分析确定了解释性复制品和意识形态困境:结果:会所成员和员工对会所的决策表达了不同的意见。结果:会所成员和工作人员对会所的决策表达了不同的意见。我们确定了六种解释性语汇和这些语汇之间的三种意识形态困境。第一种困境涉及参与和效率,提出的观点是每个人都应被允许参与决策,但决策应有效率。第二种困境涉及参与者的被动性或活动性,认为应允许决策者做自己,但参与决策需要活动。第三种困境与决策中的权力结构有关,提出共同决策需要积极抵制权力结构,但这些权力结构既是不可阻挡的,也是部分必要的:本研究在会所社区中引入了共同决策的话语视角,使决策中相互冲突的理想变得清晰可见。对这些困境的认识可以指导干预措施,从而改善会所真正的参与式共同决策实践。 (PsycInfo Database Record (c) 2024 APA, all rights reserved)。
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来源期刊
CiteScore
3.80
自引率
5.30%
发文量
40
期刊介绍: The Psychiatric Rehabilitation Journal is sponsored by the Center for Psychiatric Rehabilitation, at Boston University"s Sargent College of Health and Rehabilitation Sciences and by the US Psychiatric Rehabilitation Association (USPRA) . The mission of the Psychiatric Rehabilitation Journal is to promote the development of new knowledge related to psychiatric rehabilitation and recovery of persons with serious mental illnesses.
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