Medical Discourse: Psychiatric Interviews

Ribeiro, Branca Telles; Pinto, Diana

doi:10.1016/b0-08-044854-2/04454-0

Cited by 6 publications

(5 citation statements)

References 6 publications

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“…It emphasises that data should rather be regarded as a topic itself, reflecting a reality constructed in collaboration (Rapley, 2001). Regarding psychiatric interviews, Ribeiro and de Souza Pinto (2006) state that stories should be viewed as situational discourses, being contingent on the context. Interestingly, clinicians rarely talk about the ontological and epistemic uncertainty of the psychiatric diagnoses with patients, thus treating the diagnoses as real objects (Lane, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Ziółkowska (2009) describes a psychiatric interview as a social situation in which the participants create meanings for events and thus construct reality. Hence, the interview is not a unidirectional act in which the patient informs the clinician; they negotiate, fix and change the interpretations together during the interaction (Ribeiro and de Souza Pinto, 2006).…”

Section: Psychiatric Interviewsmentioning

confidence: 99%

“…Therefore, interviewers have to use their own discretion in separating behaviours that are meaningful in their context from behaviours that are indicative of PD. SCID-II, like any other interview, is based on interaction between two parties, but the diagnostic criteria concentrate solely on the patient and do not take the doctor-patient interaction into account (Ribeiro and de Souza Pinto, 2006). As far we know, no studies thus far have concentrated on the interactional side of SCID-II.…”

Section: The Evaluation Of Personality Disordersmentioning

confidence: 99%

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‘Is it in your basic personality?’ Negotiations about traits and context in diagnostic interviews for personality disorders

2022

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What does it mean to claim that somebody’s personality is disordered? The aim in this paper is to examine how the process of diagnosing personality disorders (PD) unfolds on a practical level. We take an in-depth look at PD interviews, paying close attention to the occasional discrepancies in the clinicians’ and the patients’ approaches to generalising the behaviour of patients to describe their personality. Clinicians are guided by the medical model and structured interviews in their approach. We regard the interview situation as interplay between the institution, the clinician and the patient – and the final diagnosis as an interactional construction between them. Our data consists of video-recorded interviews in Finland with 10 adult patients and three psychiatric nurses. The collection was compiled from 22 excerpts in which the participants orient differently to the generalisability of personality traits. Our observations show that, in these interviews, patients frequently make sense of their behaviour differently from what is expected – not as a reflection of their personality traits, but as an outcome of many situational factors. Our understanding leads us to emphasise the importance of making visible the practices that shape the diagnostic process in psychiatry.

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Section: Discussionmentioning

confidence: 99%

Section: Psychiatric Interviewsmentioning

confidence: 99%

Section: The Evaluation Of Personality Disordersmentioning

confidence: 99%

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‘Is it in your basic personality?’ Negotiations about traits and context in diagnostic interviews for personality disorders

2022

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“…As respostas dos pacientes são direcionadas para os fatos considerados por eles como relevantes para o diagnóstico e para o plano de tratamento, em geral de forma rápida e pontual. Ou seja, em consonância com uma agenda determinada pelo saber médico (RIBEIRO; PINTO, 2005). As perguntas abertas são ocasionais e comumente seguidas por outras perguntas que exigem respostas curtas e sucessivas.…”

Section: Estrutura Do Discurso Clínico Burocracia E Drama No Atendimento Em Unidades De Saúdeunclassified

“Sua dor é de zero a quanto?”: narrativa, sofrimento e resistência em uma unidade de atendimento de saúde suplementar

Monteiro

Pinto

2021

Fórum Linguist.

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Com base em uma entrevista de pesquisa que versa sobre um atendimento ocorrido em uma unidade de saúde suplementar, este estudo investiga como as narrativas do entrevistado sugerem a transformação de suas experiências em meios de resistência a determinados tipos de opressão que rotineiramente integram a prática clínica e gerencial nesse contexto. Com o aporte da abordagem Sociolinguística Interacional para a análise do discurso, as questões que o orientam são: como o entrevistado estrutura a sua narrativa em termos de organização e enunciação das experiências; e quais desdobramentos dessa experiência são discursivizados como modos de resistência. Compreende-se que a análise discursiva acerca da experiência narrada pode cooperar para discussões acerca da vulnerabilidade do Sistema de Saúde, seja no âmbito público ou privado, em busca de um equilíbrio entre um atendimento eficiente, humanizado e justo diante das condições institucionais e mercadológicas a que estão submetidos.

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“…The aims of these interactions include establishing a therapeutic alliance, reviewing mental state, discussing treatment, informing patients about legal status, approving leave, discharge planning, and addressing patient concerns. 2,3 This paper reports on a study that sought to identify and understand the linguistic expertise that psychiatrists use in clinical interviews with patients with TD. Our purpose is not to conflate clinical with linguistic expertise, but rather to examine how clinical expertise is realised through language.…”

Section: Rethinking Thought Disordermentioning

confidence: 99%

Identifying and exploring linguistic expertise of psychiatrists in interviews with patients with thought disorder

Galletly

Ash

Sweeney³

et al. 2019

Australas Psychiatry

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Objective: To identify and understand the linguistic expertise of psychiatrists in clinical interviews with patients experiencing thought disorder (TD). Method: Qualitative analysis of 24 routine clinical interviews between psychiatrists and inpatients with TD. Results: Psychiatrists demonstrated the expertise with which they navigated clinical interviews and accomplished shared goals with patients experiencing TD. These findings highlight the need to rethink the notion that such patients are incapable of productive communication. Capturing and describing psychiatrists’ tacit expertise provides a foundation for documenting an under-recognised skill set. Conclusions: Understanding such expertise could enhance the care of patients with TD, repositioning them as active participants in the accomplishment of shared therapeutic goals. Teaching these skills to mental health clinicians during their training would improve their ability to establish effective therapeutic relationships with these patients.

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Medical Discourse: Psychiatric Interviews

Cited by 6 publications

References 6 publications

‘Is it in your basic personality?’ Negotiations about traits and context in diagnostic interviews for personality disorders

‘Is it in your basic personality?’ Negotiations about traits and context in diagnostic interviews for personality disorders

“Sua dor é de zero a quanto?”: narrativa, sofrimento e resistência em uma unidade de atendimento de saúde suplementar

Identifying and exploring linguistic expertise of psychiatrists in interviews with patients with thought disorder

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