精神病学中人格障碍诊断的预期与传递

IF 3 1区 文学 Q1 COMMUNICATION Research on Language and Social Interaction Pub Date : 2023-01-02 DOI:10.1080/08351813.2023.2170635
Liisa Voutilainen, A. Peräkylä
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引用次数: 1

摘要

摘要人格障碍(PD)的诊断可以被患者视为污名化。这给做出诊断并与患者沟通的临床医生带来了互动挑战。通过对PD患者临床访谈录像的分析,我们探讨了精神病学中对诊断的预期和交付。研究方法为会话分析法。每个患者的诊断评估过程都要经过多次临床访谈。在这个过程的开始,临床医生以预期的方式谈论人格障碍的诊断。在这个过程结束时,他们最终将其传达给患者。这项分析侧重于精神科医生在提及(前瞻性)诊断时帮助患者“挽回面子”的互动实践。我们证明,在数据中既有面部工作的回避做法,也有矫正做法。即使使用了这些药物,将诊断结果提交给专利也可能导致冲突。我们得出的结论是,在扩展的诊断评估过程中,临床医生的准备工作对于确保患者参与非常重要。此分析的数据为芬兰语。
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Anticipation and Delivery of a Personality Disorder Diagnosis in Psychiatry
ABSTRACT A personality disorder (PD) diagnosis can be considered by a patient to be stigmatizing. This presents interactional challenges for the clinician who makes the diagnosis and communicates it to the patient.Through an analysis of video-recorded clinical interviews of PD patients, we explore the anticipation and delivery of the diagnosis in psychiatry. The method of the study is conversation analysis (CA). The diagnostic evaluation process of each patient extends over a number of clinical interviews. At the beginning of the process, the clinicians speak about the personality disorder diagnosis in an anticipatory manner. At the end of the process, they eventually communicate it to the patients. This analysis focuses on the interactional practices used by psychiatrists to help a patient “save face” when mentioning the (prospective) diagnosis. We demonstrate that both the avoidance and corrective practices of face work occur in the data. Even with these prartices, the delivery of the diagnosis to the patent can lead to conflict. We conclude that, in extended diagnostic evaluation processes, the preparatory work by the clinician is important to secure patient participation.The data for this analysis are in Finnish.
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来源期刊
CiteScore
7.30
自引率
7.40%
发文量
20
期刊介绍: The journal publishes the highest quality empirical and theoretical research bearing on language as it is used in interaction. Researchers in communication, discourse analysis, conversation analysis, linguistic anthropology and ethnography are likely to be the most active contributors, but we welcome submission of articles from the broad range of interaction researchers. Published papers will normally involve the close analysis of naturally-occurring interaction. The journal is also open to theoretical essays, and to quantitative studies where these are tied closely to the results of naturalistic observation.
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