Overcoming Diagnostic Uncertainty: Clinicians, Patients and Institutional Work in Practice
This article uses aspects from Institutional Ethnography to explore how both clinicians and young adults with mental health problems use different adaptation strategies to overcome the diagnostic uncertainty in psychiatry. The article illustrates the connection between the local production of diagno...
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| Format: | Article |
| Language: | English |
| Published: |
Stockholm University Press
2019-07-01
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| Series: | Scandinavian Journal of Disability Research |
| Subjects: | |
| Online Access: | https://www.sjdr.se/articles/638 |
| _version_ | 1797709221798608896 |
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| author | Esben Olesen |
| author_facet | Esben Olesen |
| author_sort | Esben Olesen |
| collection | DOAJ |
| description | This article uses aspects from Institutional Ethnography to explore how both clinicians and young adults with mental health problems use different adaptation strategies to overcome the diagnostic uncertainty in psychiatry. The article illustrates the connection between the local production of diagnoses in Norwegian psychiatric outpatient clinics and the individual experience of being identified with multiple psychiatric diagnoses. The article explores how two clinicians from two psychiatric outpatient clinics produce diagnoses locally. It is shown how institutional texts coordinate the diagnostic work as ‘ruling relations’. On the other side of the desk, the arbitrary element affects the young adults with mental health problems, who perform a large amount of identity work when dealing with the numerous diagnoses they are given. The young adults find the ease with which they are diagnosed, the number of diagnoses, and the way the diagnoses are used to be disturbing and confusing. |
| first_indexed | 2024-03-12T06:34:23Z |
| format | Article |
| id | doaj.art-ae22dc97d0184593a0636171386e0382 |
| institution | Directory Open Access Journal |
| issn | 1745-3011 |
| language | English |
| last_indexed | 2024-03-12T06:34:23Z |
| publishDate | 2019-07-01 |
| publisher | Stockholm University Press |
| record_format | Article |
| series | Scandinavian Journal of Disability Research |
| spelling | doaj.art-ae22dc97d0184593a0636171386e03822023-09-03T01:28:11ZengStockholm University PressScandinavian Journal of Disability Research1745-30112019-07-0121110.16993/sjdr.638529Overcoming Diagnostic Uncertainty: Clinicians, Patients and Institutional Work in PracticeEsben Olesen0Nordland Research InstituteThis article uses aspects from Institutional Ethnography to explore how both clinicians and young adults with mental health problems use different adaptation strategies to overcome the diagnostic uncertainty in psychiatry. The article illustrates the connection between the local production of diagnoses in Norwegian psychiatric outpatient clinics and the individual experience of being identified with multiple psychiatric diagnoses. The article explores how two clinicians from two psychiatric outpatient clinics produce diagnoses locally. It is shown how institutional texts coordinate the diagnostic work as ‘ruling relations’. On the other side of the desk, the arbitrary element affects the young adults with mental health problems, who perform a large amount of identity work when dealing with the numerous diagnoses they are given. The young adults find the ease with which they are diagnosed, the number of diagnoses, and the way the diagnoses are used to be disturbing and confusing.https://www.sjdr.se/articles/638DiagnosticsMental healthPsychiatric outpatient clinicInstitutional EthnograhyYoung adults |
| spellingShingle | Esben Olesen Overcoming Diagnostic Uncertainty: Clinicians, Patients and Institutional Work in Practice Scandinavian Journal of Disability Research Diagnostics Mental health Psychiatric outpatient clinic Institutional Ethnograhy Young adults |
| title | Overcoming Diagnostic Uncertainty: Clinicians, Patients and Institutional Work in Practice |
| title_full | Overcoming Diagnostic Uncertainty: Clinicians, Patients and Institutional Work in Practice |
| title_fullStr | Overcoming Diagnostic Uncertainty: Clinicians, Patients and Institutional Work in Practice |
| title_full_unstemmed | Overcoming Diagnostic Uncertainty: Clinicians, Patients and Institutional Work in Practice |
| title_short | Overcoming Diagnostic Uncertainty: Clinicians, Patients and Institutional Work in Practice |
| title_sort | overcoming diagnostic uncertainty clinicians patients and institutional work in practice |
| topic | Diagnostics Mental health Psychiatric outpatient clinic Institutional Ethnograhy Young adults |
| url | https://www.sjdr.se/articles/638 |
| work_keys_str_mv | AT esbenolesen overcomingdiagnosticuncertaintyclinicianspatientsandinstitutionalworkinpractice |