Cristin-resultat-ID: 1536770
Sist endret: 14. august 2018 14:47
NVI-rapporteringsår: 2018
Vitenskapelig artikkel

The symbolic affordances of a video-mediated gaze in emergency psychiatry

  • Marianne Trondsen
  • Aksel Tjora
  • Alex Broom og
  • Graham Scambler


Social Science and Medicine
ISSN 0277-9536
e-ISSN 1873-5347
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2018
Publisert online: 2017
Trykket: 2018
Volum: 197
Sider: 87 - 94
Open Access


Scopus-ID: 2-s2.0-85037345227

Beskrivelse Beskrivelse


The symbolic affordances of a video-mediated gaze in emergency psychiatry


While mental illness is a significant health challenge worldwide, the availability of specialists is limited, especially in rural areas and for psychiatric emergencies. Although tele-psychiatry, via real-time videoconferencing (VC), is used to provide consultative services in areas that lack psychiatrists, there are a paucity of studies on the use of VC for psychiatric emergencies. We examine how VC matters for patient involvement and professional practice in the first Norwegian emergency tele-psychiatric service. Through a decentralised on-call system, psychiatrists are accessible 24/7 by telephone and VC for patients and nurses in regional psychiatry centres. Based on 29 interviews with patients, psychiatrists and nurses, this article addresses how participation is fostered by VC, and how it may change the social dynamics of therapeutic emergency encounters. We identified four contributions of the ‘video-mediated gaze’ in the therapeutic encounter including those of the: (1) immediacy of assessment, (2) increased transparency, (3) sense of access to the ‘real’ expert, and (4) fostering of the patient's ‘voice’ in therapeutic decisions. These VC inflections of the therapeutic encounter are a mix of the pragmatic (1 and 2) and the symbolic (3 and 4), assembling in these contexts to foster patient-centeredness. With a sociological approach to video-conferenced emergency psychiatry, the identification of symbolic affordances adds necessary nuances to the application of new technologies into fragile therapeutic communication.


Marianne Vibeke Trondsen

Bidragsyterens navn vises på dette resultatet som Marianne Trondsen
  • Tilknyttet:
    ved Nasjonalt senter for e-helseforskning ved Universitetssykehuset Nord-Norge HF

Aksel Tjora

  • Tilknyttet:
    ved Institutt for sosiologi og statsvitenskap ved Norges teknisk-naturvitenskapelige universitet

Alex Broom

  • Tilknyttet:
    ved University of New South Wales

Graham Scambler

  • Tilknyttet:
    ved University of Surrey
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