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Communication in youth mental health clinical encounters: Introducing the agential stance

Bergen, Clara; Bortolotti, Lisa; Tallent, Katherine; Broome, Matthew; Larkin, Michael; Temple, Rachel; Fadashe, Catherine; ... McCabe, Rose; + view all (2022) Communication in youth mental health clinical encounters: Introducing the agential stance. Theory &Psychology , 32 (5) pp. 667-690. 10.1177/09593543221095079. Green open access

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Abstract

When young people seek support from mental health care practitioners, the encounters may affect the young people's sense of self, and in particular undermine their sense of agency. For this study, an interdisciplinary team of academics and young people collaboratively analysed video-recorded encounters between young people and mental healthcare practitioners in emergency services. They identified five communication techniques that practitioners can use to avoid undermining the young person's sense of agency in the clinical encounter. They conceptualise the use of those techniques as the adoption of an agential stance towards the young person. The agential stance consists of: (a) validating the young person's experiences, (b) legitimising the young person's choice to seek help, (c) refraining from objectifying the young person, (d) affirming the young person's capacity to contribute to positive change, and (e) involving the young person in the decision-making process.

Type: Article
Title: Communication in youth mental health clinical encounters: Introducing the agential stance
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/09593543221095079
Publisher version: https://doi.org/10.1177/09593543221095079
Language: English
Additional information: © The Author(s) 2022. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/).
Keywords: empathy, epistemic injustice, sense of agency, validation, youth mental health
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10157421
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