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July 1997

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From:
Paul Mongeau <[log in to unmask]>
Reply To:
CSCA Interpersonal & Small Group Communication <[log in to unmask]>
Date:
Fri, 11 Jul 1997 13:00:03 EST
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Sorry for the intrusion, but I thought that this would be of intereest to
some listmembers.  Trust me, there's a lot of spam that I don't send along,
but I thought this one was in the area.  PM
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Date: Wed, 09 Jul 1997 18:46:52 +0100
From: [log in to unmask] (Stefan Sjostrom)
Subject: New book
To: [log in to unmask]
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Hi,
I'd just like to provide some information about a new book that I've
completed recently. I hope it may be of interest to some list-members. My
apologies for any cross-postings.
 
The book is titled: Party or Patient? Discursive pratices relating
to coercion in psychiatric and legal settings.
 
 I have conducted an ethnographic fieldwork at a psychiatric clinic for 18
months, primarily at an emergency unit. The aim of the fieldwork has been to
study the staff's (doctors, nurses and mental health workers) descriptive
discourse concerning patients, particularly in matters concerning
compulsory care. Thus, I have followed doctor-patient communication at the
emergency unit, report meetings for the nursing staff and round meetings. I
have also been able to follow the more informal dimensions of clincical
work, such as conversations about patients at the nursing office or around
the coffee table.
 
In another part of the study, adminsitrative court hearings have been
audiotaped. In these hearings, patients from the clinic appear as adverse
parties to their chief psychiatrist and are represented by a public
defender. In theoretical terms: individuals are recontextualised when they
leave the clinic as patients and become parties in court. The encounter
between the psychiatric and legal institutions in court can be seen as
problematic, since they have quite different traditions in how they deal
with people, knowledge and decision-making. The psychiatrists find it
somewhat difficult to explain their expert knowledge to the laymen in
court. Furthermore, to fully understand clinical judgements, one need to
have a  knowledge about the concrete everyday circumstances under which
patients live at treatment units.
 
In brief, results suggest that the clinical practice of coercion is carried
out in a paternalistic fashion To a large extent, the staff also apply a
somewhat circular logice, working under an assumption that patients are
mentally ill when they make decisions. If this may appear quite logical in
a treatment institution, it is somewhat surprising that similar assumptions
of illness and a paternalistic view on patients that are legal parties is
visible in court. Legal professionals such as judges and public defenders
appear to adapt their actions to an assumption of one of the key issues the
court is set to evaluate, namely that the patient is mentally ill.
 
Stefan Sj=F6str=F6m
 
 
Stefan Sj=F6str=F6m: Party or Patient? Discursive practices relating to
coercion in psychiatric and legal settings. Borea, Ume=E5 1997. (Link=F6ping
Studies in Arts and Science 153) ISBN 91-972690-4-2
 
(the Book can be ordered from the publisher Borea by email:
[log in to unmask] ; fax + 46 (0)90 14 32 89; snail mail: Borea,
Spinettstraket 3E, 903 25 Umea, Sweden. )
 
More information about the book is also available on Borea's Web-site:
http://www.algonet.se/~borea/
 
 
 
 
 
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=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D
Stefan Sj=F6str=F6m
PhD, Senior Lecturer
Department of Media and Communication
Umea University
S- 901 87 Umea
Sweden
 
(home: V:a Esplanaden 13 A, S- 903 25 Umea, Sweden)
 
Tel:   +46 (0)90- 16 77 97 (office), 16 78 45 (office fax), 12 66 03 (home)
Email: [log in to unmask]
www:   http://klio.tema.liu.se/people/stesj/
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