Counselling the (self?) diagnosed client: generative and reflective conversations
Autor: | Karen H. Ross, Monica Sesma-Vazquez, Tom Strong |
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Rok vydání: | 2015 |
Předmět: |
060201 languages & linguistics
Psychotherapist Self Discourse analysis 05 social sciences 050109 social psychology 06 humanities and the arts Narrative therapy Clinical diagnosis Phenomenon 0602 languages and literature Counselling psychology 0501 psychology and cognitive sciences Psychology Applied Psychology Generative grammar |
Zdroj: | British Journal of Guidance & Counselling. 43:598-610 |
ISSN: | 1469-3534 0306-9885 |
DOI: | 10.1080/03069885.2014.996736 |
Popis: | In this paper, we address the phenomenon of clients who present their concerns in the medicalised discourse of the Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition (DSM-5). We contextualise this phenomenon, highlighting how a ‘diagnose-and-treat’ logic increasingly pervades everyday understandings and informs people's efforts to make sense of their concerns. We relate these cultural ways of sense-making to discursive counselling practice, noting possibilities for circumventing ‘discursive capture’ through reflective and generative dialogues. We then turn to two common ways in which clients present their concerns in counselling: (1) arriving self-diagnosed or diagnosed by another professional and (2) as a family in which parents present a child as having a mental disorder. We suggest ways of moving beyond medicalised discourse via resourceful and critically reflective conversations with clients. |
Databáze: | OpenAIRE |
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