Struggles of professionalism and emotional labour in standardized mental health care

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

This article points out how recent public sector reforms under headings as New Public Management, Lean and Quality Reforms entail different forms for standardization, and examines how this development instigates a transformation of interdisciplinary and highly skilled emotional labor in mental healthcare. It is based on an ethnographic study of a Danish child psychiatric unit, which ‘produces’ diagnoses and treatment/therapy for children and their families. We illustrate how the enforcement of standardization upsets the balance between the humanistic and medical aspects of psychiatry as a discipline and field of practice, and show how this development challenges professional identities, interdisciplinary collaboration and hierarchical relations. The development is however negotiated,
OriginalsprogEngelsk
TidsskriftNordic Journal of Working Life Studies
Vol/bind6
Udgave nummerS1
Sider (fra-til)67-86
ISSN2245-0157
DOI
StatusUdgivet - 2016

Citer dette

@article{cfa45a5ddb8442a3863f442ebca41d76,
title = "Struggles of professionalism and emotional labour in standardized mental health care",
abstract = "This article points out how recent public sector reforms under headings as New Public Management, Lean and Quality Reforms entail different forms for standardization, and examines how this development instigates a transformation of interdisciplinary and highly skilled emotional labor in mental healthcare. It is based on an ethnographic study of a Danish child psychiatric unit, which ‘produces’ diagnoses and treatment/therapy for children and their families. We illustrate how the enforcement of standardization upsets the balance between the humanistic and medical aspects of psychiatry as a discipline and field of practice, and show how this development challenges professional identities, interdisciplinary collaboration and hierarchical relations. The development is however negotiated,reformulated, and opposed, in teams of mental health professionals. In this context of increasingstandardization, highly skilled emotional labor unfolds. We point out how acceleration and leaningof work procedures increases the emotional labor in relation to clients, partners, and colleagues. Butparadoxically, at the same time, emotional labor becomes still more invisible as it is excluded fromthe standardized schemes. The study illustrates the crucial role of emotional labor in mental carework and points out how it is left to the professionals to negotiate paradoxes and make ends meet",
author = "Annette Kamp and Betina Dybbroe",
year = "2016",
doi = "http://dx.doi.org/10.19154/njwls.v6i1.4886",
language = "English",
volume = "6",
pages = "67--86",
journal = "Nordic Journal of Working Life Studies",
issn = "2245-0157",
publisher = "Roskilde Universitet",
number = "S1",

}

Struggles of professionalism and emotional labour in standardized mental health care. / Kamp, Annette; Dybbroe, Betina.

I: Nordic Journal of Working Life Studies, Bind 6, Nr. S1, 2016, s. 67-86.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Struggles of professionalism and emotional labour in standardized mental health care

AU - Kamp, Annette

AU - Dybbroe, Betina

PY - 2016

Y1 - 2016

N2 - This article points out how recent public sector reforms under headings as New Public Management, Lean and Quality Reforms entail different forms for standardization, and examines how this development instigates a transformation of interdisciplinary and highly skilled emotional labor in mental healthcare. It is based on an ethnographic study of a Danish child psychiatric unit, which ‘produces’ diagnoses and treatment/therapy for children and their families. We illustrate how the enforcement of standardization upsets the balance between the humanistic and medical aspects of psychiatry as a discipline and field of practice, and show how this development challenges professional identities, interdisciplinary collaboration and hierarchical relations. The development is however negotiated,reformulated, and opposed, in teams of mental health professionals. In this context of increasingstandardization, highly skilled emotional labor unfolds. We point out how acceleration and leaningof work procedures increases the emotional labor in relation to clients, partners, and colleagues. Butparadoxically, at the same time, emotional labor becomes still more invisible as it is excluded fromthe standardized schemes. The study illustrates the crucial role of emotional labor in mental carework and points out how it is left to the professionals to negotiate paradoxes and make ends meet

AB - This article points out how recent public sector reforms under headings as New Public Management, Lean and Quality Reforms entail different forms for standardization, and examines how this development instigates a transformation of interdisciplinary and highly skilled emotional labor in mental healthcare. It is based on an ethnographic study of a Danish child psychiatric unit, which ‘produces’ diagnoses and treatment/therapy for children and their families. We illustrate how the enforcement of standardization upsets the balance between the humanistic and medical aspects of psychiatry as a discipline and field of practice, and show how this development challenges professional identities, interdisciplinary collaboration and hierarchical relations. The development is however negotiated,reformulated, and opposed, in teams of mental health professionals. In this context of increasingstandardization, highly skilled emotional labor unfolds. We point out how acceleration and leaningof work procedures increases the emotional labor in relation to clients, partners, and colleagues. Butparadoxically, at the same time, emotional labor becomes still more invisible as it is excluded fromthe standardized schemes. The study illustrates the crucial role of emotional labor in mental carework and points out how it is left to the professionals to negotiate paradoxes and make ends meet

U2 - http://dx.doi.org/10.19154/njwls.v6i1.4886

DO - http://dx.doi.org/10.19154/njwls.v6i1.4886

M3 - Journal article

VL - 6

SP - 67

EP - 86

JO - Nordic Journal of Working Life Studies

JF - Nordic Journal of Working Life Studies

SN - 2245-0157

IS - S1

ER -