2014
DOI: 10.3109/01612840.2014.880139
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The Language of Risk: Common Understanding or Diverse Perspectives?

Abstract: Risk as a concept now takes high priority in contemporary mental health services, with increasing pressure on mental health services to develop risk assessment and management practices. This focus on risk has been criticised for its over-reliance on measurement and management at the expense of therapeutic care and is perpetuated by the language of risk which reinforces power differentials and limits capacity for consumers and carers to influence discussions and debates. Furthermore, to date, most work in this … Show more

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Cited by 21 publications
(29 citation statements)
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“…While recovery is orientated towards the development of hope and the provision of opportunities to foster control, choice, autonomy, and growth, in contrast, risk management is frequently concerned with 'avoiding danger, restrictions, containment, protection and staff control' (Boardman & Roberts 2013, p. 4). The literature cites numerous barriers to communication with service users about risk, including dissonance between professionals and service users' language and perceptions of risk; fears about negative adverse reactions from services users, such as violence or disengagement from the therapeutic relationship; as well as concerns about stigmatization and disempowerment of service users by applying the discourse of risk (Clancy et al 2014;Langan 2008). This suggests that the nursing practice of a large number of practitioners in this study is leaning more towards the risk averse end of the continuum.…”
Section: Discussionmentioning
confidence: 99%
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“…While recovery is orientated towards the development of hope and the provision of opportunities to foster control, choice, autonomy, and growth, in contrast, risk management is frequently concerned with 'avoiding danger, restrictions, containment, protection and staff control' (Boardman & Roberts 2013, p. 4). The literature cites numerous barriers to communication with service users about risk, including dissonance between professionals and service users' language and perceptions of risk; fears about negative adverse reactions from services users, such as violence or disengagement from the therapeutic relationship; as well as concerns about stigmatization and disempowerment of service users by applying the discourse of risk (Clancy et al 2014;Langan 2008). This suggests that the nursing practice of a large number of practitioners in this study is leaning more towards the risk averse end of the continuum.…”
Section: Discussionmentioning
confidence: 99%
“…The literature also suggests that the dominant risk discourse, which frames risk in negative terms and views service users as 'risk-laden objects', precludes the adoption of a positive approach to risk (Clancy et al 2014;Morgan 2007;Slade 2009). The literature also suggests that the dominant risk discourse, which frames risk in negative terms and views service users as 'risk-laden objects', precludes the adoption of a positive approach to risk (Clancy et al 2014;Morgan 2007;Slade 2009).…”
Section: Discussionmentioning
confidence: 99%
“…Education is also required on positive risk, as without this, practitioners, especially those working in acute care services, may continue to view service users as ‘risk‐laden objects' (Clancy et al . :551) that need to be controlled and minded, in the erroneous belief that they are protecting them from failure.…”
Section: Implications Of Findingsmentioning
confidence: 99%
“…Discussion in the literature suggests that use of language by clinicians that relates to risk is not always understood by patients, as it does not reflect the experiences or use of language of this population (Clancy et al . ). Additionally, the inclusion of the items ‘risk to self and others’ and ‘dangerous and destructive behaviour’ in a needs assessment tool calls into question the purpose of the assessment and its aim to assess what needs the individual may be experiencing.…”
Section: Discussionmentioning
confidence: 97%