TY - JOUR

T1 - "caught between a Rock and a Hard Place" - Between Discourses of Empowerment and Solicitude

T2 - Danish Public Sector Service Professionals' Discourses of Nonattendance

AU - Hoej, Michaela

AU - Johansen, Katrine Schepelern

AU - Olesen, Birgitte Ravn

AU - Arnfred, Sidse Marie

PY - 2017/9/1

Y1 - 2017/9/1

N2 - Nonattendance constitutes a profound challenge in public sector services targeting young adults with mental health difficulties. Therefore, researchers and practitioners are occupied with trying to resolve this. For clinicians to be aware of their own naturalized and perhaps inappropriate communicative practices, we investigated the established normative organizational logics behind explanations and strategies related to nonattendance. We performed a critical discourse analysis on material collected through participatory research throughout 2015. Three discourses were identified: solicitude, responsibility, and youth discourse. Although the discourses were complex and entangled, they were used by all practitioners. Furthermore, some of the discourses, especially the responsibility and the solicitude discourses, were inherently tension filled, and practitioners experienced frustration in dealing with these tensions. The youth discourse can be understood as a coping mechanism to deal with these tensions because it distributes responsibility for nonattendance to general social and cultural processes.

AB - Nonattendance constitutes a profound challenge in public sector services targeting young adults with mental health difficulties. Therefore, researchers and practitioners are occupied with trying to resolve this. For clinicians to be aware of their own naturalized and perhaps inappropriate communicative practices, we investigated the established normative organizational logics behind explanations and strategies related to nonattendance. We performed a critical discourse analysis on material collected through participatory research throughout 2015. Three discourses were identified: solicitude, responsibility, and youth discourse. Although the discourses were complex and entangled, they were used by all practitioners. Furthermore, some of the discourses, especially the responsibility and the solicitude discourses, were inherently tension filled, and practitioners experienced frustration in dealing with these tensions. The youth discourse can be understood as a coping mechanism to deal with these tensions because it distributes responsibility for nonattendance to general social and cultural processes.

KW - adaption, coping, enduring

KW - adolescents, youth, young adults

KW - behavior

KW - caregivers, caretaking

KW - collaborative research

KW - communication

KW - complexity

KW - content analysis

KW - culture of

KW - discourse analysis

KW - doctor-patient, nurse-patient

KW - health behavior

KW - health care

KW - interprofessional

KW - mental health and illness

KW - power, empowerment

KW - psychiatry

KW - qualitative

KW - quality of care

KW - recovery

KW - Scandinavia

U2 - 10.1177/1049732317717962

DO - 10.1177/1049732317717962

M3 - Journal article

C2 - 28799474

AN - SCOPUS:85027330698

VL - 27

SP - 1686

EP - 1700

JO - Qualitative Health Research

JF - Qualitative Health Research

SN - 1049-7323

IS - 11

ER -