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Patient or consumer? The colonization of the psychiatric clinic

Evans, Alicia 2005, Patient or consumer? The colonization of the psychiatric clinic, International journal of mental health nursing, vol. 14, no. 4, pp. 285-289, doi: 10.1111/j.1440-0979.2005.00395.x.

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Title Patient or consumer? The colonization of the psychiatric clinic
Author(s) Evans, Alicia
Journal name International journal of mental health nursing
Volume number 14
Issue number 4
Start page 285
End page 289
Publisher Blackwell Publishing Asia
Place of publication Carlton, Vic.
Publication date 2005
ISSN 1445-8330
1447-0349
Keyword(s) consumer
managerialism
patient
psychoanalysis
transference
Summary Information is given a privileged place in the psychiatric clinic, as illustrated by the prevalence and volume of data to be collected and forms to be completed by psychiatric nurses. Information though is different to knowledge. The present paper argues that information is part of a managerial discourse that implies commodification whereas knowledge is part of a clinical discourse that allows room for the suffering of the patient. Information belongs to the discourse of managerialism, one that positions the patient as customer/consumer and in doing so renders them unsuffering. The patient's suffering is silenced by their construction as a consumer. The discourse of managerialism seeks a complete data set of information. By way of contrast, another discourse, that of psychoanalysis offers the institution the idea that there are always holes, gaps, and uncertainty. The idea of uncertainty, gaps, things remaining unknown and a limit sits uncomfortably with the dominant discourse of managerialism; one that demands no limits, complete data sets, and many satisfied customers. This market model of managerialism denies the potential of the therapeutic relationship; that something curative might be produced via the transference. In addition, the managerialist discourse potentially positions the patient as both illegitimate and unsuffering.
Language eng
DOI 10.1111/j.1440-0979.2005.00395.x
Field of Research 111099 Nursing not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2009, Journal compilation Australian College of Mental Health Nurses Inc.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30004213

Document type: Journal Article
Collection: School of Nursing and Midwifery
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