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The slide to pragmatism: A values-based understanding of 'dangerous' personality disorders.
- Source :
- Health Sociology Review; Jun2011, Vol. 20 Issue 2, p157-171, 15p
- Publication Year :
- 2011
-
Abstract
- This paper reports on a qualitative study of UK mental health practitioners' experiences of working with the contested condition, dangerous and severe personality disorder (DSPD). Our interviews focused on the issues of treatability, risk assessment and decision-making in multi-disciplinary teams. We discuss the approach of values-based medicine (VBM) as a useful framework for interpreting the data: respondents cited both explicit values (based on occupational training) and implicit values (based on personal beliefs and subjective perceptions). There was evidence of conflicting values -- within individuals, between occupational groups, and between individuals in occupational groups -- which led to widespread uncertainty and caution about whether and how those with 'dangerous' personality disorders could be treated. These disputes were resolved by a 'slide to pragmatism', whereby practitioners, reluctantly acknowledging their own empowerment in the process, sought to make whichever choice was least risky for their own professional reputation, and most pragmatic, given the resources available. [ABSTRACT FROM AUTHOR]
- Subjects :
- PERSONALITY disorder treatment
ATTITUDE (Psychology)
CONCEPTUAL structures
CONFLICT (Psychology)
HEALTH care teams
INTERVIEWING
RESEARCH methodology
CASE studies
MEDICAL personnel
PATIENT-professional relations
MENTAL health personnel
HEALTH outcome assessment
PROFESSIONAL ethics
RESEARCH funding
RISK assessment
VALUES (Ethics)
DECISION making in clinical medicine
QUALITATIVE research
CRIMINALS with mental illness
TREATMENT effectiveness
Subjects
Details
- Language :
- English
- ISSN :
- 14461242
- Volume :
- 20
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Health Sociology Review
- Publication Type :
- Academic Journal
- Accession number :
- 74485084
- Full Text :
- https://doi.org/10.5172/hesr.2011.20.2.157