Work

From Engagement to Disengagement in a Psychiatric Assessment Process

Year: 2021

Type: article

Abstract: In a longitudinal conversation analytical (CA) case study, we examined patient engagement in a psychiatric assessment process (nine clinical interviews) with a young woman who eventually received the diagnosis of personality disorder. Based on Goffman, we consider engagement in interaction as consisting of three facets: engagement in the action at hand, bodily engagement with the co‐participant, and engagement with the local moral order of the encounter. The patient begins the assessment process with high engagement and ends it up in low engagement. Yet, during this process, the patient oscillates between moments of high and low engagement. We show how the Goffmanian idea of engagement can be elaborated by CA. On the other hand, the Goffmanian view enriches CA by bringing to the foreground the interconnectedness of the different facets of engagement. A video abstract is available at https://youtu.be/S7BA7HRFvJ0 .

Source: Symbolic Interaction

DOI: 10.1002/symb.574

Authors: Anssi Peräkylä, Liisa Voutilainen, Maarit Lehtinen, Mariel Wuolio

Institutions: University of Helsinki, University of Freiburg

Language: English

Topic: Language, Discourse, Communication Strategies

Subfield: Language and Linguistics

Field: Arts and Humanities

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $2,750