Communication in youth mental health clinical encounters: Introducing the agential stance.

Communication in youth mental health clinical encounters: Introducing the agential stance.
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DOI:
10.1177/09593543221095079
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发表时间:
2022-10
影响因子:
1.2
通讯作者:
McCabe, Rose
McCabe, Rose
中科院分区:
心理学4区
文献类型:
--
作者:
Bergen, Clara;Bortolotti, Lisa;Tallent, Katherine;Broome, Matthew;Larkin, Michael;Temple, Rachel;Fadashe, Catherine;Lee, Carmen;Lim, Michele C.;McCabe, Rose

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当年轻人寻求精神卫生保健从业人员的支持时,这种接触可能会影响年轻人的自我意识,特别是破坏他们的代理感。在这项研究中,一个由学者和年轻人组成的跨学科团队合作分析了年轻人和紧急服务中的精神保健医生之间的视频记录。他们确定了五种沟通技巧,从业者可以使用这些技巧来避免破坏年轻人在临床接触中的代理感。他们将这些技术的使用概念化为对年轻人采取代理人的立场。代理人的立场包括:(a)确认青年人的经历,(B)使青年人寻求帮助的选择合法化,(c)避免将青年人视为目标,(d)肯定青年人促进积极变化的能力,以及(e)让青年人参与决策过程。
When young people seek support from mental health care practitioners, the encounters may affect the young people’s sense of self, and in particular undermine their sense of agency. For this study, an interdisciplinary team of academics and young people collaboratively analysed video-recorded encounters between young people and mental healthcare practitioners in emergency services. They identified five communication techniques that practitioners can use to avoid undermining the young person’s sense of agency in the clinical encounter. They conceptualise the use of those techniques as the adoption of an agential stance towards the young person. The agential stance consists of: (a) validating the young person’s experiences, (b) legitimising the young person’s choice to seek help, (c) refraining from objectifying the young person, (d) affirming the young person’s capacity to contribute to positive change, and (e) involving the young person in the decision-making process.
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