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Title: Problem formulation in mental health residential treatment: a single case analysis
Authors: Pino, Marco
Mortari, Luigina
Keywords: Problem formation
Mental health
Residential treatment
Educator
conversation analysis
Single case analysis
Issue Date: 2012
Publisher: Dipartimento di Scienze Dell’Educazione «Giovanni Maria Bertin» - Università di Bologna (© Marco Pino, Luigina Mortari)
Citation: PINO, M. and MORTARI, L., 2012. Problem formulation in mental health residential treatment: a single case analysis. Ricerche di Pedagogia e Didattica – Journal of Theories and Research in Education, 7 (1), pp.73-96
Abstract: This paper investigates an episode of interaction in a mental health residential centre in Italy, where a resident and a staff member manage a relational problem. The episode leads to an apparently paradoxical outcome: in spite of the fact that the resident has sought the staff members’ cooperation to make sense of the relational problem, she ends up being blamed for that problem. Adopting the approach of conversation analysis, the paper shows that this outcome is the result of the transition from a relational view, to a one-sided view of the problem. The practices employed to accomplish this transition reflect a set of contrasting concerns and goals, which the participants bring to bear on the interaction. Reflection about these aspects can sensitize the public to some of the intricacies and challenges entailed in the delivery of mental health residential treatment.
Questo articolo esplora un episodio di interazione avvenuto in una comunità psichiatrica, in cui una ospite e un membro dello staff gestiscono un problema relazionale. L’episodio conduce a un esito apparentemente paradossale: malgrado l’ospite abbia cercato la collaborazione dello staff per comprendere la natura del problema, alla fine viene incolpata per aver generato il problema stesso. Adottando l’approccio dell’analisi della conversazione, l’articolo mostra come questo esito sia il prodotto della transizione da una visione relazionale ad una visione unilaterale del problema. Le pratiche impiegate per compiere questa transizione riflettono un insieme di preoccupazioni e di obiettivi contrastanti, manifestati dai partecipanti nel corso dell’interazione. La riflessione su questi aspetti può sensibilizzare il pubblico alle difficoltà e ai dilemmi implicati nel trattamento psichiatrico residenziale.
Description: This paper was published in an Open Access journal under a Creative Commons Attribution-NonCommercial-NoDerivs Licence 3.0 (CC-BY-NC-ND).
Version: Published
DOI: 10.6092/issn.1970-2221/2591
URI: https://dspace.lboro.ac.uk/2134/25445
Publisher Link: https://rpd.unibo.it/article/view/2591
http://dx.doi.org/10.6092/issn.1970-2221/2591
ISSN: 1970-2221
Appears in Collections:Published Articles (Social Sciences)

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