Uncertainty work and temporality in psychiatry : how clinicians and patients experience and manage risk in practice?

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Hautamaki , L 2018 , ' Uncertainty work and temporality in psychiatry : how clinicians and patients experience and manage risk in practice? ' , Health, Risk & Society , vol. 20 , no. 1-2 , pp. 43-62 . https://doi.org/10.1080/13698575.2018.1442918

Title: Uncertainty work and temporality in psychiatry : how clinicians and patients experience and manage risk in practice?
Author: Hautamaki, Lotta
Contributor: University of Helsinki, Department of Social Research (2010-2017)
Date: 2018
Language: eng
Number of pages: 20
Belongs to series: Health, Risk & Society
ISSN: 1369-8575
URI: http://hdl.handle.net/10138/247824
Abstract: In psychiatric clinical practice, professionals pursue risk management alongside various uncertainties concerning diagnoses and treatment decisions. In this article, I draw on an ethnographic study of understandings of bipolar disorder in Finland to argue that risk management in psychiatry is better characterised as practical uncertainty work. I show how both the clinicians and the patients coordinate the uncertainties of bipolar disorder symptoms, risks and treatment decisions, into something that can be managed. I examine the ways in which temporality structures this uncertainty work and I explore two different modes of framing time. Clinical time stems from the current psychiatric thinking committed to the standardised diagnosis and the ideals of evidence-based medicine. Through this, professionals frame a task-oriented and linear treatment path from diagnosis and treatment to a managed life with bipolar disorder. Experienced time, in contrast, relates to the logics of care and self-care amid the embodied experiences of different actors. This framing of time involves a cyclical process where the patient, the clinician and the treatment interventions each need to adjust to changing situations.
Subject: 3142 Public health care science, environmental and occupational health
5141 Sociology
risk
uncertainty work
risk management
temporality
ethnography
bipolar disorder
psychiatry
clinician experience
patient experience
MENTAL-HEALTH-SERVICES
TIME
COMMUNITY
FUTURE
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