{"title":"当患者自己提出诊断时如何应对:来自护士在人格障碍访谈中的应对实践的证据","authors":"Maarit Lehtinen, M. Pino","doi":"10.1080/08351813.2023.2235958","DOIUrl":null,"url":null,"abstract":"ABSTRACT What is going on when a psychiatric patient claims a psychiatric diagnosis for themselves which is different from the one a practitioner is investigating? We analyze cases from 10 interviews between psychiatric patients and a nurse using a formal interview schedule to assess whether the patient has a personality disorder. When the patient invokes (temporary) depression to explain some of their experiences or life circumstances, the nurse then has to handle that, while dispassionately pursuing an interview schedule that is, on the contrary, predicated on the diagnosis being a long-term personality disorder. We show how the nurse balances respect for the patient’s account while also performing her institutional duties. The data are in Finnish.","PeriodicalId":51484,"journal":{"name":"Research on Language and Social Interaction","volume":null,"pages":null},"PeriodicalIF":3.0000,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"How to respond when patients invoke a diagnosis for themselves: Evidence from a nurse’s response practices in personality disorder interviews\",\"authors\":\"Maarit Lehtinen, M. Pino\",\"doi\":\"10.1080/08351813.2023.2235958\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"ABSTRACT What is going on when a psychiatric patient claims a psychiatric diagnosis for themselves which is different from the one a practitioner is investigating? We analyze cases from 10 interviews between psychiatric patients and a nurse using a formal interview schedule to assess whether the patient has a personality disorder. When the patient invokes (temporary) depression to explain some of their experiences or life circumstances, the nurse then has to handle that, while dispassionately pursuing an interview schedule that is, on the contrary, predicated on the diagnosis being a long-term personality disorder. We show how the nurse balances respect for the patient’s account while also performing her institutional duties. The data are in Finnish.\",\"PeriodicalId\":51484,\"journal\":{\"name\":\"Research on Language and Social Interaction\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2023-07-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Research on Language and Social Interaction\",\"FirstCategoryId\":\"98\",\"ListUrlMain\":\"https://doi.org/10.1080/08351813.2023.2235958\",\"RegionNum\":1,\"RegionCategory\":\"文学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"COMMUNICATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Research on Language and Social Interaction","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1080/08351813.2023.2235958","RegionNum":1,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"COMMUNICATION","Score":null,"Total":0}
How to respond when patients invoke a diagnosis for themselves: Evidence from a nurse’s response practices in personality disorder interviews
ABSTRACT What is going on when a psychiatric patient claims a psychiatric diagnosis for themselves which is different from the one a practitioner is investigating? We analyze cases from 10 interviews between psychiatric patients and a nurse using a formal interview schedule to assess whether the patient has a personality disorder. When the patient invokes (temporary) depression to explain some of their experiences or life circumstances, the nurse then has to handle that, while dispassionately pursuing an interview schedule that is, on the contrary, predicated on the diagnosis being a long-term personality disorder. We show how the nurse balances respect for the patient’s account while also performing her institutional duties. The data are in Finnish.
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.