"caught between a Rock and a Hard Place" - Between Discourses of Empowerment and Solicitude: Danish Public Sector Service Professionals' Discourses of Nonattendance
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"caught between a Rock and a Hard Place" - Between Discourses of Empowerment and Solicitude : Danish Public Sector Service Professionals' Discourses of Nonattendance. / Hoej, Michaela; Johansen, Katrine Schepelern; Olesen, Birgitte Ravn; Arnfred, Sidse Marie.
In: Qualitative Health Research, Vol. 27, No. 11, 01.09.2017, p. 1686-1700.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - "caught between a Rock and a Hard Place" - Between Discourses of Empowerment and Solicitude
T2 - Danish Public Sector Service Professionals' Discourses of Nonattendance
AU - Hoej, Michaela
AU - Johansen, Katrine Schepelern
AU - Olesen, Birgitte Ravn
AU - Arnfred, Sidse Marie
PY - 2017/9/1
Y1 - 2017/9/1
N2 - Nonattendance constitutes a profound challenge in public sector services targeting young adults with mental health difficulties. Therefore, researchers and practitioners are occupied with trying to resolve this. For clinicians to be aware of their own naturalized and perhaps inappropriate communicative practices, we investigated the established normative organizational logics behind explanations and strategies related to nonattendance. We performed a critical discourse analysis on material collected through participatory research throughout 2015. Three discourses were identified: solicitude, responsibility, and youth discourse. Although the discourses were complex and entangled, they were used by all practitioners. Furthermore, some of the discourses, especially the responsibility and the solicitude discourses, were inherently tension filled, and practitioners experienced frustration in dealing with these tensions. The youth discourse can be understood as a coping mechanism to deal with these tensions because it distributes responsibility for nonattendance to general social and cultural processes.
AB - Nonattendance constitutes a profound challenge in public sector services targeting young adults with mental health difficulties. Therefore, researchers and practitioners are occupied with trying to resolve this. For clinicians to be aware of their own naturalized and perhaps inappropriate communicative practices, we investigated the established normative organizational logics behind explanations and strategies related to nonattendance. We performed a critical discourse analysis on material collected through participatory research throughout 2015. Three discourses were identified: solicitude, responsibility, and youth discourse. Although the discourses were complex and entangled, they were used by all practitioners. Furthermore, some of the discourses, especially the responsibility and the solicitude discourses, were inherently tension filled, and practitioners experienced frustration in dealing with these tensions. The youth discourse can be understood as a coping mechanism to deal with these tensions because it distributes responsibility for nonattendance to general social and cultural processes.
KW - adaption, coping, enduring
KW - adolescents, youth, young adults
KW - behavior
KW - caregivers, caretaking
KW - collaborative research
KW - communication
KW - complexity
KW - content analysis
KW - culture of
KW - discourse analysis
KW - doctor-patient, nurse-patient
KW - health behavior
KW - health care
KW - interprofessional
KW - mental health and illness
KW - power, empowerment
KW - psychiatry
KW - qualitative
KW - quality of care
KW - recovery
KW - Scandinavia
U2 - 10.1177/1049732317717962
DO - 10.1177/1049732317717962
M3 - Journal article
C2 - 28799474
AN - SCOPUS:85027330698
VL - 27
SP - 1686
EP - 1700
JO - Qualitative Health Research
JF - Qualitative Health Research
SN - 1049-7323
IS - 11
ER -
ID: 245373438