2021
DOI: 10.1002/symb.574
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From Engagement to Disengagement in a Psychiatric Assessment Process

Abstract: In a longitudinal conversation analytical (CA) case study, we examined patient engagement in a psychiatric assessment process (nine clinical interviews) with a young woman who eventually received the diagnosis of personality disorder. Based on Goffman, we consider engagement in interaction as consisting of three facets: engagement in the action at hand, bodily engagement with the co‐participant, and engagement with the local moral order of the encounter. The patient begins the assessment process with high enga… Show more

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Cited by 12 publications
(10 citation statements)
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“…Overall, starting to talk about weight using personalised recommendations that are minimally delicate were responded to with minimal uptake and passive resistance from patients, often demonstrated through an absence of response. The lack of alignment may suggest that the patients are not engaging with the GPs project of discussing weight ( Peräkylä et al., 2021 ).…”
Section: Resultsmentioning
confidence: 99%
“…Overall, starting to talk about weight using personalised recommendations that are minimally delicate were responded to with minimal uptake and passive resistance from patients, often demonstrated through an absence of response. The lack of alignment may suggest that the patients are not engaging with the GPs project of discussing weight ( Peräkylä et al., 2021 ).…”
Section: Resultsmentioning
confidence: 99%
“…Finally, multimodal interaction analysis proved to be a productive approach with regard to methodologies used to study groups. Examining help interactions between students from the perspective of multimodal interaction analysis allowed us to highlight the moral intricacies involved in helping as a concurrent activity and to unpack the dynamics of engagement ( Peräkylä et al, 2021 ) by describing the different sequential and bodily-spatial arrangements students created. Combining conversation analytic and context analytic concepts and procedures made it possible to reconstruct how participants coordinate both talk and bodily-spatial and material resources to create and orient to a shared space of helping and accomplish helping as a joint activity.…”
Section: Discussionmentioning
confidence: 99%
“…At the same time, the students are part of the classroom gathering ( Goffman, 1964 ) that, due to its institutional purpose, involves focusing on and completing collective or individual assignments. Therefore, when students respond to requests for help from their classmates during activities, they must simultaneously manage two involvements ( Goffman, 1963 ; Peräkylä et al, 2021 ) and two moral commitments ( Clark, 2006 ; Raymond and Lerner, 2014 ): the obligation to help and the obligation to work on the teacher’s assignment. Our interest is in how students cope with these moral intricacies inherent in helping and in the varied and complex tasks they must manage when seeking and providing help as a concurrent activity .…”
Section: Introductionmentioning
confidence: 99%
“…Engagement is one key notion in this study. To be engaged means to show with one's actions and body that one is willingly and wholeheartedly taking part in the encounter at hand and focusing one's attention on the action and participants (Peräkylä et al, 2022). Engagement was a theme that the sociologist Erving Goffman dealt with throughout his career (Goffman, 1957(Goffman, , 1963(Goffman, , 1974.…”
Section: Introductionmentioning
confidence: 99%
“…(Goffman, 1963, p. 37) pointed out that "bodily activities (...) seem well designed to provide information about the individual's involvement". Synthetizing the Goffmanian perspective on engagement (Goffman, 1957(Goffman, , 1963(Goffman, , 1964(Goffman, , 1974, we recently argued that engagement involves postural and perceptual orientation to the co-participants of the encounter, and that such orientation indexes attention and is intertwined with collaborative involvement in the activity at hand (see also Bergmann and Peräkylä, in press;Peräkylä et al, 2022). In his early works (Goffman, 1957(Goffman, , 1963, Goffman explored the interaction between a participants' moral obligation to show engagement with their talk and their bodies to indicate that they are being attentive.…”
Section: Introductionmentioning
confidence: 99%