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- W644540051 abstract "The therapeutic relationship and quality communication have long been established ascentral determinants of therapeutic outcome (Weiss et al, 2002; Drew et al, 2001).However, these may be more difficult to establish with people diagnosed with psychosis.This thesis focuses on how psychiatrists and outpatients with a diagnosis of schizophreniaestablish mutual understanding. A newly developed 'repair protocol' was utilised fromwithin the conversation analytic framework. This takes advantage of the structuralfeatures of language that speakers use to correct misunderstandings; i.e. 'repair'.Therefore, it was possible to identify when misunderstandings occur and how they wererepaired, then to explore associations between repair and the therapeutic relationship.This research is novel in psychiatry, as it allows for integration of verbal and non-verbalbehaviour and analyses the function of talk. The findings illustrate that different types ofrepair were linked with different patient and psychiatrist outcomes. Repair was utilised toachieve various actions (e.g. disagreeing) or following certain junctures, (e.g. abrupt topicshifts). Initially, patients made most effort to make their contribution understandable,whereas psychiatrists made most effort to repair misunderstandings once they hadoccurred. In addition, the more positively the psychiatrists rated the relationship the moreeffort they made to understand the patients. Although the psychiatrists' efforts were notassociated with patients overall view of the relationship, they did feel better emotionally,despite, feeling less understood. Most repairs were successful but they did not alwayshave to be successful to maintain conversation; effort seems more important than success.There appeared to be high communicative alignment though some mismatch means thereis scope for improvement. Both parties prioritised understanding the same topics butpsychiatrists' focused more on medication and patients on voices. It seems the concept ofrepair can provide a range of relevant information for how psychiatrists and patientscreate mutual understanding in their routine meetings." @default.
- W644540051 created "2016-06-24" @default.
- W644540051 creator A5011364188 @default.
- W644540051 date "2006-09-01" @default.
- W644540051 modified "2023-09-27" @default.
- W644540051 title "An investigation into how mutual understanding is established between psychiatrists and outpatients with a diagnosis of schizophrenia : using the mechanism of conversational repair" @default.
- W644540051 hasPublicationYear "2006" @default.
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