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Conversation analysis of decision-making in psychiatric consultations

Research Project

Project/Area Number 24530623
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Sociology
Research InstitutionOsaka Kyoiku University

Principal Investigator

KUSHIDA Shuya  大阪教育大学, 教育学部, 教授 (70214947)

Co-Investigator(Renkei-kenkyūsha) YAMAKAWA Yuriko  茨城県立医療大学, 保健医療学部, 准教授 (40381420)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
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)
Keywords精神科医療 / 意思決定 / 会話分析 / コミュニケーション / 診察場面 / 社会学 / 提案 / 依頼 / 国際研究者交流
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.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (11 results)

All 2015 2014 2013 Other

All Journal Article (5 results) (of which Peer Reviewed: 3 results,  Acknowledgement Compliant: 1 results) Presentation (6 results)

  • [Journal Article] Fitting proposals to their sequential environment: a comparison of turn designs for proposing treatment in ongoing outpatient psychiatric consultations in Japan2015

    • Author(s)
      Shuya Kushida, Yuriko Yamakawa
    • Journal Title

      Sociology of Health & Illness

      Volume: 37(4) Issue: 4 Pages: 522-544

    • DOI

      10.1111/1467-9566.12204

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Using names for referring without claiming shared knowledge: Name-quoting descriptors in Japanese2015

    • Author(s)
      Shuya Kushida
    • Journal Title

      Research on Language and Social Interaction

      Volume: 48(2) Issue: 2 Pages: 230-251

    • DOI

      10.1080/08351813.2015.1025508

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 典型的な更新連鎖とそのオールターナティヴ:精神科外来再診場面の開始部門に関する覚え書き2013

    • Author(s)
      串田秀也・平本毅・山川百合子
    • Journal Title

      大阪教育大学紀要 第II部門 社会科学・生活科学

      Volume: 第62巻第1号 Pages: 1-21

    • NAID

      40020024447

    • Related Report
      2013 Research-status Report
  • [Journal Article] Responding with resistance to Wh-questions in Japanese talk-in-interaction2013

    • Author(s)
      Makoto Hayashi・Shuya Kushida
    • Journal Title

      Research on Language and Social Interaction

      Volume: 46(3) Issue: 3 Pages: 231-255

    • DOI

      10.1080/08351813.2013.810407

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 典型的な更新連鎖とそのオールターナティヴ2013

    • Author(s)
      串田秀也・平本毅・山川百合子
    • Journal Title

      大阪教育大学紀要 第II部門

      Volume: 62(1)

    • Related Report
      2012 Research-status Report
  • [Presentation] Patients’ requests and psychiatrists’ responses in decision-making over treatment: Claiming and negotiating entitlement to treatment2014

    • Author(s)
      Shuya Kushida, Takeshi Hiramoto, and Yuriko Yamakawa
    • Organizer
      International Conference on Conversation Analysis 2014
    • Place of Presentation
      University of California, Los Angeles
    • Year and Date
      2014-06-28
    • Related Report
      2014 Annual Research Report
  • [Presentation] Resisting How to Make a Decision2013

    • Author(s)
      Shuya Kushida and Yuriko Yamakawa
    • Organizer
      4th International Conference on Conversation Analysis and Clinical Encounters
    • Place of Presentation
      York University
    • Related Report
      2012 Research-status Report
  • [Presentation] resisting how to make a decision: On some patients' responses to treatment recommendations in outpatient psychiatric consultations in Japan

    • Author(s)
      Shuya Kushida and Yuriko Yamakawa
    • Organizer
      4th international conference on conversation analysis and clinical encounters
    • Place of Presentation
      York University
    • Related Report
      2013 Research-status Report
  • [Presentation] Patients' requests and psychiatrists' responses in decision-making over treatment

    • Author(s)
      Shuya Kushida, Takeshi Hiramoto and Yuriko Yamakawa
    • Organizer
      International Conference on Conversation Analysis
    • Place of Presentation
      University of California, Los Angeles
    • Related Report
      2013 Research-status Report
  • [Presentation] Epistemic Stance As Resource for Treatment Negotiation

    • Author(s)
      Shuya Kushida
    • Organizer
      111th American Anthropological Association
    • Place of Presentation
      San Francisco Hilton
    • Related Report
      2012 Research-status Report
  • [Presentation] 処置のすすめへの「理由つき」同意

    • Author(s)
      串田秀也
    • Organizer
      第85回日本社会学会大会
    • Place of Presentation
      札幌学院大学
    • Related Report
      2012 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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