Reactivity and reactions to regulatory transparency in medicine, psychotherapy and counselling
Reactivity and reactions to regulatory transparency in medicine, psychotherapy and counselling
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DOI：
10.1016/j.socscimed.2011.09.035
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发表时间：
2012-02-01
影响因子：
5.4
通讯作者：
Fischer, Michael D.
中科院分区：
文献类型：
--
作者：
McGivern, Gerry;Fischer, Michael D.
我们利用 2008-10 年间进行的 51 次半结构化访谈的定性研究，探讨英国的医生、心理治疗师和咨询师对监管透明度的反应。我们使用“反应机制”的概念（Espeland & Sauder，2007）来解释监管透明度如何通过简化和脱离语境来扰乱实践，改变从业者的反射性，导致实践的防御形式。我们通过探索透明度对医生与心理治疗师和咨询师的影响来做出实证贡献，心理治疗师和咨询师因其独特的复杂实践而代表了一个极端案例，尤其受到这种监管形式的影响。我们通过开发反应机制模型对知识做出贡献，该模型解释了临床专业人员如何理解有关监管的媒体和专业叙述，从而产生情绪反应，进而产生对透明度的防御性反应。 (C) 2011 Elsevier Ltd. 保留所有权利。
We explore how doctors, psychotherapists and counsellors in the UK react to regulatory transparency, drawing on qualitative research involving 51 semi-structured interviews conducted during 2008-10. We use the concept of 'reactivity mechanisms' (Espeland & Sauder, 2007) to explain how regulatory transparency disrupts practices through simplifying and decontextualizing them, altering practitioners' reflexivity, leading to defensive forms of practice. We make an empirical contribution by exploring the impact of transparency on doctors compared with psychotherapists and counsellors, who represent an extreme case due to their uniquely complex practice, which is particularly affected by this form of regulation. We make a contribution to knowledge by developing a model of reactivity mechanisms, which explains how clinical professionals make sense of media and professional narratives about regulation in ways that produce emotional reactions and, in turn, defensive reactivity to transparency. (C) 2011 Elsevier Ltd. All rights reserved.