| Budget Amount *help |
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2012: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
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| Outline of Final Research Achievements |
This study investigates how psychiatrists and patients make decisions over treatment in outpatient psychiatric consultations. It especially focuses on practices they use to initiate decision-making. In psychiatrist-initiated decision-making, psychiatrists are shown to fit the turn design of a treatment proposal to its sequential environment in such a way as to display their attention to patients'perspectives. In patient-initiated decision-making, patients are shown to select the practice with which they initiate decision-making in such a way as to be congruent with the way they describe their conditions. Taken together, this study shows that psychiatrists are not simply paternalistic and coercive and patients are not simply passive and submissive. One practical implication of these findings is that the practices participants use in actual decision-making contains a certain type of collaboration, which can be regarded as a basis for “sharing” decision-making.
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