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dc.contributor.authorTrondsen, Marianne
dc.contributor.authorTjora, Aksel
dc.contributor.authorBroom, Alex
dc.contributor.authorScambler, Graham
dc.date.accessioned2019-03-12T07:41:49Z
dc.date.available2019-03-12T07:41:49Z
dc.date.created2018-01-05T14:46:06Z
dc.date.issued2018
dc.identifier.citationSocial Science and Medicine. 2018, 197 87-94.nb_NO
dc.identifier.issn0277-9536
dc.identifier.urihttp://hdl.handle.net/11250/2589642
dc.description.abstractWhile mental illness is a significant health challenge worldwide, the availability of specialists is limited, especially in rural areas and for psychiatric emergencies. Although tele-psychiatry, via real-time videoconferencing (VC), is used to provide consultative services in areas that lack psychiatrists, there are a paucity of studies on the use of VC for psychiatric emergencies. We examine how VC matters for patient involvement and professional practice in the first Norwegian emergency tele-psychiatric service. Through a decentralised on-call system, psychiatrists are accessible 24/7 by telephone and VC for patients and nurses in regional psychiatry centres. Based on 29 interviews with patients, psychiatrists and nurses, this article addresses how participation is fostered by VC, and how it may change the social dynamics of therapeutic emergency encounters. We identified four contributions of the ‘video-mediated gaze’ in the therapeutic encounter including those of the: (1) immediacy of assessment, (2) increased transparency, (3) sense of access to the ‘real’ expert, and (4) fostering of the patient's ‘voice’ in therapeutic decisions. These VC inflections of the therapeutic encounter are a mix of the pragmatic (1 and 2) and the symbolic (3 and 4), assembling in these contexts to foster patient-centeredness. With a sociological approach to video-conferenced emergency psychiatry, the identification of symbolic affordances adds necessary nuances to the application of new technologies into fragile therapeutic communication.nb_NO
dc.language.isoengnb_NO
dc.publisherElseviernb_NO
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/deed.no*
dc.titleThe symbolic affordances of a video-mediated gaze in emergency psychiatrynb_NO
dc.title.alternativeThe symbolic affordances of a video-mediated gaze in emergency psychiatrynb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionacceptedVersionnb_NO
dc.source.pagenumber87-94nb_NO
dc.source.volume197nb_NO
dc.source.journalSocial Science and Medicinenb_NO
dc.identifier.doi10.1016/j.socscimed.2017.11.056
dc.identifier.cristin1536770
dc.description.localcode© 2017. This is the authors’ accepted and refereed manuscript to the article. Locked until 2.12.2020 due to copyright restrictions. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/nb_NO
cristin.unitcode194,67,25,0
cristin.unitnameInstitutt for sosiologi og statsvitenskap
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2


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Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
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