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A grounded theory of intuition among occupational therapists in mental health practice
- Authors:
- CHAFFEY Lisa, UNSWORTH Carolyn, FOSSEY Ellie
- Journal article citation:
- British Journal of Occupational Therapy, 73(7), July 2010, pp.300-308.
- Publisher:
- Sage
This study explored nine occupational therapists’ (OTs) understanding and use of intuition, whilst interacting and connecting with mental health patients during the clinical reasoning process which guides their decision making on practice. Using a grounded theory approach and the evolving theories on clinical reasoning and CCT (the Cognitive Continuum Theory), the authors conducted qualitative, semi-structured interviews with participants recruited from mental health presentations at an Australian OTs conference. They were asked to describe an example of intuition in their everyday life and professional practice and discuss it further in response to the researcher’s probes and definitions. Participant demographic data and methods of data analysis are illustrated in Table 1 and Figure 1, respectively. From the data, intuition was defined as knowledge without conscious awareness of reasoning and was found to be embedded in clinical reasoning. Participants described it as “elusive and underground”, and suggested, in their own words in the text, that with greater professional experience, came more comfort in its use. Using intuition relied on therapists’ understanding of their own and others’ emotions and intuition partnered analysis within their clinical reasoning, say these authors. This paper concludes with a presentation of a grounded theory for the use of intuition in mental health settings (Figure 2), and proposes that intuition be considered with analysis as an important tool within a clinical reasoning framework.
Helping people with mental health problems deal with money
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Journal article citation:
- Community Care, 22.1.09, 2009, pp.32-33.
- Publisher:
- Reed Business Information
Discusses how the Mental Capacity Act 2005 can help people with mental health problems deal with their money.
Making choices and taking control
- Authors:
- COLDHAM Tina, SPANDLER Helen
- Journal article citation:
- Openmind, 132, March 2005, pp.18-19.
- Publisher:
- MIND
Describes how direct payments can benefit mental health service survivors.
Your guide to the Mental Capacity Bill
- Author:
- GEORGE Mike
- Journal article citation:
- Care and Health Magazine, 27.7.04, 2004, pp.30-31.
- Publisher:
- Care and Health
Looks at the main areas of the Mental Capacity Bill, which covers England and Wales.
A guide to the Mental Incapacity/Capacity Bill 2003
- Authors:
- CURRAN Christopher, GRIMSHAW Catherine
- Journal article citation:
- Openmind, 128, July 2004, pp.24-25.
- Publisher:
- MIND
Provides an overview of the Mental Incapacity/Capacity Bill 2003.
Challenging personal capability assessments
- Author:
- BOLTON Mike
- Journal article citation:
- Mental Health and Learning Disabilities Care, 3(11), July 2000, p.383.
- Publisher:
- Pavilion
What if the Benefits Agency declares you fit for work and you don't agree. The author describes the experiences of one woman with mental health problems.
Unfit for the job
- Author:
- LANGAN Joan
- Journal article citation:
- Community Care, 17.10.91, 1991, pp.22-23.
- Publisher:
- Reed Business Information
Argues that there are disturbing flaws in the way Approved Social Workers misuse their power to section people with a mental illness.
Critique of a mental health admissions diagnostic system: an example of an expert system in all ill-structured domain
- Author:
- RAVETZ J.
- Journal article citation:
- New Technology in the Human Services, 5(1), Summer 1990, pp.12-15.
- Publisher:
- Centre for Human Service Technology
Describes the diagnostic system, possible uses by social workers and implications for the human - computer interface.
How included are mental health service users in decisions about their medication?
- Author:
- HOLTTUM Sue
- Journal article citation:
- Mental Health and Social Inclusion, 20(3), 2016, pp.141-148.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to consider four recent articles relating to how included service users are in decision making about their medication in mental health services. Design/methodology/approach: One article describes conversations between a psychiatrist and service users about medication. The second paper describes a study in which young people were supported with the aim of developing their confidence to challenge medication decisions. The third paper reports on interviews with both professionals and service users about medication decisions. The fourth paper presents a theory of how the wider context can affect medication decision making in mental health. Findings: The first paper shows how a psychiatrist can persuade service users to accept medication decisions. The second paper shows how some young people can challenge medication decisions if they have the right support. The third paper illustrates how both professionals and service users may doubt service users’ ability to decide about medication, and pessimistically suggests that shared decision making may be unrealistic. In contrast to this, the fourth paper offers hope of changing how mental health services are organised in order to enable service users to be more empowered about medication decisions. Originality/value: A model of shared decision making is being imported into mental health from physical health. These four papers illustrate problems with a simple transfer from physical to mental health. The present paper points to differences in apparent awareness of different clinical researchers of the need to tackle service users’ disempowerment in mental health care, showing how some researchers are tackling this. (Publisher abstract)
Something to declare? The disclosure of common mental health problems at work
- Author:
- IRVINE Annie
- Journal article citation:
- Disability and Society, 26(2), March 2011, pp.179-192.
- Publisher:
- Taylor and Francis
With a focus on mental health and the workplace, this article presents research findings highlighting the complexities involved in individual decision-making and experiences about whether and how to inform employers and others in the workplace about mental health problems such as stress, anxiety and depression. It is based on 2 studies about people's experiences of mental health and employment (one of incapacity benefits recipients and the other of individuals who had sustained employment throughout periods of mental ill health). Using examples from the study data, it discusses how the complex nature of mental health can complicate workplace disclosure, such as where individuals expressed difficulties in the workplace or in their personal life rather than a mental health problem and where individuals delayed disclosure because they did not perceive their experience to be a mental health problem. The author notes that for many people in the mental health and employment studies described, the starting point of their experience was not one of illness or disability, but of sadness, stress or worry.