Turner, Roisin and Simpson, Jane (2015) Psychiatric diagnosis : views of service users and professionals. PhD thesis, Lancaster University.
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Abstract
This thesis explores services users’ and General Practitioners’ (GPs’) views regarding psychiatric diagnosis. These have been written within a literature review and research paper, and I have shared my own views regarding diagnosis within the critical review. The importance of sharing and hearing narratives have been highlighted throughout all three papers. The aim of the literature review was to synthesise the qualitative findings of studies which explored GPs’ views of psychiatric diagnoses and the barriers they face in supporting clients with a diagnosis. This resulted in five overarching themes being identified: Reluctance to use the medical model; The language of diagnosis; Powerlessness; Threats to a GP’s role; and Difficulties negotiating and accessing support. The findings highlighted the reluctance of GPs to use psychiatric diagnosis, and how increased support from other services would assist them in their role. The aim of the research paper was to conduct an in-depth exploration of service users’ narratives regarding their journey to and following receiving a diagnosis of bipolar disorder. Twelve individuals were interviewed and a narrative approach was used to analyse the interview data. The findings are presented as a shared story and involve five phases: Life before diagnosis; The journey to diagnosis; Receiving a diagnosis; Since diagnosis; and The future. The findings highlighted that participants found receiving a diagnosis brought them relief due to acknowledgement of their difficulties, but created additional challenges for them. Finally, the critical review discussed my reflections on my own stance of psychiatric diagnosis and how this has changed and been challenged over the course of the study. This is presented in four sections: Reflections upon my own stance of psychiatric diagnosis; Privileged position and power; Narrative approaches; and Future practice and research. This paper is based on the reflections I made throughout the research process.