Whose diagnosis is it anyway? Features of clinician communication that influence patient responses to mental health diagnoses

由于心理健康是ESRC 2016-2020年的战略重点，我建议开展一项严格的、多阶段的定性研究计划，以调查与心理健康政策相关的三个核心但被忽视的问题：1)执业精神科医生对诊断功能的看法，包括他们是否、何时以及如何与患者谈论诊断；在精神科会诊中披露和使用诊断结果在会诊的互动环境中，以及随后的随访访谈中，患者对接受精神科诊断的反应如何。这一研究方案将提供丰富、多角度的数据，以前所未有的方式为当前的辩论和实践提供信息。

As mental health is an ESRC strategic priority for 2016-2020, I propose to conduct a rigorous, multiphase programme of qualitative research to investigate three core but neglected issues pertinent to mental health policy:1) Practising psychiatrists' views about the function of diagnosis including if, when and how they might talk about diagnosis with patients2) How psychiatrists formulate, disclose and employ diagnoses during psychiatric consultations3) How patients respond to receiving psychiatric diagnoses at the point of disclosure within the interactional context of consultations, and subsequently, during follow-up interviews.This programme of research will provide rich, multi-perspective data to inform current debates and practices in unprecedented ways.