[Mixed-Methods Design for Analyzing Jeopardizing Situations by Means of Communication Profiles - Part I: "Simulation and Reduction of Coercive Measures in Psychiatry"]

Psychiatr Prax. 2019 Mar;46(S 01):S11-S20. doi: 10.1055/a-0785-6527. Epub 2019 Feb 11.
[Article in German]

Abstract

Psychiatric research needs more information about what happens in times using coercive measures. In their structure jeopardizing situations are fundamental different from allday-life situations (e. g. school lesson) or even other environmental crisis situations (e. g. airplane cockpit). Results of communication analysis of jeopardizing situations in psychiatry ward within mixed-methods design are presented for the first time. Data basis comprises videos of psychodramatical rearranged standard conflict situations. By means of deductive identification (N = 2338) of observed utterances and followed by statistical evaluation, quantitative and qualitative procedures are able to distinguish different scenes (in school education vs. psychiatry) and actor communication patterns (therapists vs. inpatients). Using declaratives (determining, regulating) and commissives (promising, threatening) the actor communication profiles are totally different. The methods enrich the psychiatric process- and conflict research. More results are given in SRZP-PART II to PART VI.

Kommunikationsanalysen von psychiatrischen Gefährdungssituationen in einem Mixed-Methods-Design (Inhaltsanalyse, statistische Auswertung) werden vorgestellt. Die Datenbasis besteht aus Videos von psychodramatisch re-inszenierten Konfliktsituationen. Verschiedene Alltagsszenen (z. B. Schule/Psychiatrie) können durch Äußerungsakte der Akteure (Lehrer [L] bzw. Therapeuten [T], Patienten [P] mit NL = 771, NT = 849, NP = 718) charakterisiert und verglichen werden. Die Verfahren bereichern die psychiatrische Prozess- und Konfliktforschung.

MeSH terms

  • Coercion*
  • Germany
  • Humans
  • Inpatients
  • Psychiatric Department, Hospital
  • Psychiatry*