Treating without diagnosis: Psychoanalysis in medical settings in Argentina

Autores
Bonnin, Juan Eduardo
Año de publicación
2015
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
This article is part of a larger research project, the aim of which is to understand the discursive conditions of access and adherence to an outpatient mental health service at a public hospital in Buenos Aires, Argentina. The focus is on the historical conflict between medical discourse and psychoanalytical discourse as it emerges in the negotiation of treatment and diagnostic sequences at first consultations. It can be seen that patients who are socialized in medical discourse - and even in psychiatric discourse - expect the usual procedure in which a diagnosis, however transitory, is offered first and then followed by a treatment recommendation. However, psychoanalysts, in contrast, tend to reject diagnostic labels and offer treatment without further justification. This has an impact on the adherence of patients, and we can argue for the need to negotiate with medical discourse in order to guarantee engagement and continuity in treatment.
Fil: Bonnin, Juan Eduardo. Universidad Metropolitana para la Educación y el Trabajo. Centro de Innovacion de Los Trabajadores; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Materia
DIAGNOSIS
DOCTOR-PATIENT COMMUNICATION
MEDICAL DISCOURSE
MENTAL HEALTH
PSYCHOANALYSIS
TREATMENT
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/51523
Acceder
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network_name_str CONICET Digital (CONICET)
spelling Treating without diagnosis: Psychoanalysis in medical settings in ArgentinaBonnin, Juan EduardoDIAGNOSISDOCTOR-PATIENT COMMUNICATIONMEDICAL DISCOURSEMENTAL HEALTHPSYCHOANALYSISTREATMENThttps://purl.org/becyt/ford/6.2https://purl.org/becyt/ford/6This article is part of a larger research project, the aim of which is to understand the discursive conditions of access and adherence to an outpatient mental health service at a public hospital in Buenos Aires, Argentina. The focus is on the historical conflict between medical discourse and psychoanalytical discourse as it emerges in the negotiation of treatment and diagnostic sequences at first consultations. It can be seen that patients who are socialized in medical discourse - and even in psychiatric discourse - expect the usual procedure in which a diagnosis, however transitory, is offered first and then followed by a treatment recommendation. However, psychoanalysts, in contrast, tend to reject diagnostic labels and offer treatment without further justification. This has an impact on the adherence of patients, and we can argue for the need to negotiate with medical discourse in order to guarantee engagement and continuity in treatment.Fil: Bonnin, Juan Eduardo. Universidad Metropolitana para la Educación y el Trabajo. Centro de Innovacion de Los Trabajadores; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaEquinox Publishing2015-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/51523Bonnin, Juan Eduardo; Treating without diagnosis: Psychoanalysis in medical settings in Argentina; Equinox Publishing; Communication & Medicine; 11; 1; 3-2015; 15-261612-17831613-3625CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1558/cam.v11i1.26446info:eu-repo/semantics/altIdentifier/url/https://journals.equinoxpub.com/index.php/CAM/article/view/26446info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T10:02:06Zoai:ri.conicet.gov.ar:11336/51523instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 10:02:07.223CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Treating without diagnosis: Psychoanalysis in medical settings in Argentina
title Treating without diagnosis: Psychoanalysis in medical settings in Argentina
spellingShingle Treating without diagnosis: Psychoanalysis in medical settings in Argentina
Bonnin, Juan Eduardo
DIAGNOSIS
DOCTOR-PATIENT COMMUNICATION
MEDICAL DISCOURSE
MENTAL HEALTH
PSYCHOANALYSIS
TREATMENT
title_short Treating without diagnosis: Psychoanalysis in medical settings in Argentina
title_full Treating without diagnosis: Psychoanalysis in medical settings in Argentina
title_fullStr Treating without diagnosis: Psychoanalysis in medical settings in Argentina
title_full_unstemmed Treating without diagnosis: Psychoanalysis in medical settings in Argentina
title_sort Treating without diagnosis: Psychoanalysis in medical settings in Argentina
dc.creator.none.fl_str_mv Bonnin, Juan Eduardo
author Bonnin, Juan Eduardo
author_facet Bonnin, Juan Eduardo
author_role author
dc.subject.none.fl_str_mv DIAGNOSIS
DOCTOR-PATIENT COMMUNICATION
MEDICAL DISCOURSE
MENTAL HEALTH
PSYCHOANALYSIS
TREATMENT
topic DIAGNOSIS
DOCTOR-PATIENT COMMUNICATION
MEDICAL DISCOURSE
MENTAL HEALTH
PSYCHOANALYSIS
TREATMENT
purl_subject.fl_str_mv https://purl.org/becyt/ford/6.2
https://purl.org/becyt/ford/6
dc.description.none.fl_txt_mv This article is part of a larger research project, the aim of which is to understand the discursive conditions of access and adherence to an outpatient mental health service at a public hospital in Buenos Aires, Argentina. The focus is on the historical conflict between medical discourse and psychoanalytical discourse as it emerges in the negotiation of treatment and diagnostic sequences at first consultations. It can be seen that patients who are socialized in medical discourse - and even in psychiatric discourse - expect the usual procedure in which a diagnosis, however transitory, is offered first and then followed by a treatment recommendation. However, psychoanalysts, in contrast, tend to reject diagnostic labels and offer treatment without further justification. This has an impact on the adherence of patients, and we can argue for the need to negotiate with medical discourse in order to guarantee engagement and continuity in treatment.
Fil: Bonnin, Juan Eduardo. Universidad Metropolitana para la Educación y el Trabajo. Centro de Innovacion de Los Trabajadores; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
description This article is part of a larger research project, the aim of which is to understand the discursive conditions of access and adherence to an outpatient mental health service at a public hospital in Buenos Aires, Argentina. The focus is on the historical conflict between medical discourse and psychoanalytical discourse as it emerges in the negotiation of treatment and diagnostic sequences at first consultations. It can be seen that patients who are socialized in medical discourse - and even in psychiatric discourse - expect the usual procedure in which a diagnosis, however transitory, is offered first and then followed by a treatment recommendation. However, psychoanalysts, in contrast, tend to reject diagnostic labels and offer treatment without further justification. This has an impact on the adherence of patients, and we can argue for the need to negotiate with medical discourse in order to guarantee engagement and continuity in treatment.
publishDate 2015
dc.date.none.fl_str_mv 2015-03
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/51523
Bonnin, Juan Eduardo; Treating without diagnosis: Psychoanalysis in medical settings in Argentina; Equinox Publishing; Communication & Medicine; 11; 1; 3-2015; 15-26
1612-1783
1613-3625
CONICET Digital
CONICET
url http://hdl.handle.net/11336/51523
identifier_str_mv Bonnin, Juan Eduardo; Treating without diagnosis: Psychoanalysis in medical settings in Argentina; Equinox Publishing; Communication & Medicine; 11; 1; 3-2015; 15-26
1612-1783
1613-3625
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1558/cam.v11i1.26446
info:eu-repo/semantics/altIdentifier/url/https://journals.equinoxpub.com/index.php/CAM/article/view/26446
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Equinox Publishing
publisher.none.fl_str_mv Equinox Publishing
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
_version_ 1842269737914990592
score 13.13397

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