Izlaganje sa skupa
WHAT’S IN A NAME? – THE PSYCHIATRIC IDENTITY CONUNDRUM
Madhusudan Deepak Thalitaya
; South Essex Partnership University NHS Foundation Trust, Twinwoods Medical Centre, Bedfordshire, UK
Verinder P. Prasher
; Birmingham Community Healthcare Trust, UK
Faheem Khan
; Castlebeck, UK
Harm Boer
; Coventry and Warwickshire Partnership NHS Trust, UK
Sažetak
Background: The proper label to describe people receiving care has evoked considerable debate and controversy among
providers and bio-ethicists. Fashionable terms in current use include "patient, client, consumer, customer and service user." There is
little evidence to show that changes in nomenclature actually take patients preferences as to how they would like to be addressed into
account
Aims: This aim of this study is to survey the views of the people with learning disability in inpatient settings to establish the term
they prefer. This is the first study of its kind looking at the views of people with learning disability about how they would like to be
addressed and to identify factors associated with various preferences.
Method: Approval was obtained from the local clinical governance board. The target population covered a tertiary level
inpatient service including acute assessment and respite services, forensic (male/female and low/medium secure services) and
CAMHS LD covering the Coventry, Warwickshire and Birmingham areas (rural and inner city population). Participants were
provided with an information sheet on the research project. The questionnaire was administered by means of a joint interview
carried out by the authors of the study. Dictionary definitions were analyzed as to the derivation and connotations of various
terminologies. A questionnaire was developed which was tailored for use in PWLD after consultation with Speech & Language
Therapists and local peer review. Responses were than analyzed to identify factors associated with various preferences
Results: Evidence indicates lack of universality in preferences for terms and suggests the need for dialogue about preferred terms
between service providers and recipients. This study shows a preference for the term “patient” in all categories that were measured
within an LD inpatient setting and very interesting demographic preferences were identified. A more differentiated approach may be
suggested by taking professional background and some demographic characteristics into consideration. A positive therapeutic
relationship is a fundamental component of psychiatry and should take into account patients’ preferences regarding how they are
addressed by professionals.
Ključne riječi
patient; learning disability; customer; service user; client; consumer
Hrčak ID:
264855
URI
Datum izdavanja:
1.9.2011.
Posjeta: 248 *