2
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found

      Disclosure of mental health problems in general practice: The gradual emergence of latent topics and resources for achieving their consideration

      1 , 1
      Communication & Medicine
      Equinox Publishing

      Read this article at

      ScienceOpenPublisherPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Common mental disorders often go undetected in primary care. Sharpening general practitioners' (GPs') attention to potential signs thereof is therefore crucial. This conversation-analytic study arises from the observation that the consideration of psychological problems in new-concern visits can be achieved by way of 'gradual topic emergence'. This entails that the problem is not presented directly, but adjunct to somatic symptoms, and is hinted at by way of generic, ambiguous complaints, and furthermore by expressions of frustration and uncertainty and talk about lifeworld problems. It is argued that these materials are 'trouble-premonitory, alerting the GP to the presence of an underlying problem that can then be addressed throughfurther inquiry. The patient logic behind this approach is to assure the GP's recipiency and thus ratification of the problem's medical legitimacy. It allows the patient to introduce a potentially delicate problem 'off the record, thus guarding the patient against the loss of face that could resultfrom no uptake by the GP. The results of the study point to the importance of GPs being receptive to such interactional clues to psychological problems provided by patients.

          Related collections

          Author and article information

          Journal
          Communication & Medicine
          CAM
          Equinox Publishing
          1612-1783
          1613-3625
          August 17 2015
          June 11 2015
          : 11
          : 2
          : 189-202
          Affiliations
          [1 ]Aarhus University Hospital
          Article
          10.1558/cam.v11i2.17404
          26596126
          3dbe4650-1941-459b-86fa-7bbb1693a7f5
          © 2015
          History

          Comments

          Comment on this article