This article examines patient and referrer decision-making factors surrounding entry to psychological treatment in a primary care setting.
Drawing on qualitative data generated by a case study of patients and general practitioners (GPs), the help seeking concerns of patients and frameworks of understanding of their referrers are compared and contrasted.
The accounts of patients reveal a complex process of access which operates in a unique biographical context.
The latter includes expectations and experience of counselling, the timing of help seeking, triggers to help seeking, lay problem formulation, the perceived adequacy of GPs and self-care strategies.
The analysis presented suggests that negotiations for help seeking to ameliorate psychological distress in a primary care setting reflect both objective processes and subjective attributions about these processes from the two parties studied.
Mots-clés Pascal : Trouble psychiatrique, Consultation, Soin santé primaire, Médecin généraliste, Prise décision, Psychothérapie, Traitement, Personnel sanitaire, Homme
Mots-clés Pascal anglais : Mental disorder, Consultation, Primary health care, General practitioner, Decision making, Psychotherapy, Treatment, Health staff, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0013874
Code Inist : 002B18H05B. Création : 17/04/1998.