Engagement of patients with psychosis in the consultation: conversation analytic study.

ABSTRACT: OBJECTIVE:To investigate how doctors engage with patients with psychotic illness in routine consultations. DESIGN:Conversation analysis of 32 consultations between psychiatrists and patients with schizophrenia or schizoaffective disorder. SETTING:Two psychiatric outpatient clinics in east London and south west London. PARTICIPANTS:7 psychiatrists and 32 patients with schizophrenia or schizoaffective disorder. MAIN OUTCOME MEASURE:Mutual engagement in communication during the consultation. RESULTS:Patients actively attempted to talk about the content of their psychotic symptoms in consultations by asking direct questions, repeating their questions and utterances, and producing these utterances in the concluding part of the consultation. In response, doctors hesitated, responded with a quest

SUBMITTER: McCabe R 

PROVIDER: S-EPMC133454 | biostudies-literature | 2002 Nov

REPOSITORIES: biostudies-literature