“Caught Between a Rock and a Hard Place”—Between Discourses of Empowerment and Solicitude: Danish Public Sector Service Professionals’ Discourses of Nonattendance

Author:

Hoej Michaela12,Johansen Katrine Schepelern3,Olesen Birgitte Ravn4,Arnfred Sidse Marie25

Affiliation:

1. Mental Health Centre Ballerup, Copenhagen, Denmark

2. University of Copenhagen, Copenhagen, Denmark

3. Mental Health Centre Sct. Hans, Roskilde, Denmark

4. Roskilde University, Roskilde, Denmark

5. Mental Health Services, Region Zealand, Slagelse, Denmark

Abstract

Nonattendance constitutes a profound challenge in public sector services targeting young adults with mental health difficulties. Therefore, researchers and practitioners are occupied with trying to resolve this. For clinicians to be aware of their own naturalized and perhaps inappropriate communicative practices, we investigated the established normative organizational logics behind explanations and strategies related to nonattendance. We performed a critical discourse analysis on material collected through participatory research throughout 2015. Three discourses were identified: solicitude, responsibility, and youth discourse. Although the discourses were complex and entangled, they were used by all practitioners. Furthermore, some of the discourses, especially the responsibility and the solicitude discourses, were inherently tension filled, and practitioners experienced frustration in dealing with these tensions. The youth discourse can be understood as a coping mechanism to deal with these tensions because it distributes responsibility for nonattendance to general social and cultural processes.

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health

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