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”Kanske lägger man det litegrann hos patienten…”: En studie av systemisk makt inom psykologisk praktik
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Social Sciences, Department of Psychology.
2019 (Swedish)Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
Abstract [sv]

Följande studie undersöker hur auktoritet upprätthålls i psykologisk praktik, genom sex intervjuer med kliniska psykologer under utbildning till specialister inom psykoterapi. Data analyserades med Foucauldian Discourse Analysis. I materialet konstruerades patientens förmåga att tillgodogöra sig bedömning och behandling utifrån dennes klassificerade förutsättningar, vilket gav två möjliga positioner för patienten: följsamhet eller motstånd. Psykologen konstruerade sig själv som professionell respektive kompetent auktoritet samt som människa med självtvivel. Både patientens och psykologens position definierades utifrån respektive relation till psykologisk kunskap; patienten utifrån förmåga eller vilja att acceptera och agera efter psykologisk teori och psykologen som given auktoritet genom kunskap och utbildning. Patienters motstånd och psykologens självtvivel hanterades genom att konstrueras som problem inom dem själva och auktoritet upprätthålls genom följsamhet till denna positionering. Resultaten diskuteras utifrån en svensk vårdkontext styrd av New Public Management och Evidensbaserad praktik.

Abstract [en]

The following article explores how authority is maintained in psychological practice. Six interviews with clinical psychologists specializing in psychotherapy were conducted and analyzed by drawing on Foucauldian Discourse Analysis. The resulting accounts demonstrate that the patient’s ability to assimilate to assessment and treatment was based on its classified capacities, which constructed two possible positions for the patient: compliance or resistance. The psychologist was constructed as a professional authority, qualified authority and as a human with self-doubt. Both the patient’s and psychologist’s position were defined in relation to psychological theory; the patient on its ability and will to accept and act along psychological theory and the psychologist who gained authority through knowledge and education. The patient’s resistance and the psychologist’s self-doubt were dealt with by being positioned as a problem within themselves and authority was maintained by complying to this positioning. The results are discussed within a Swedish health context, governed by New Public Management and Evidence Based Practice.

Place, publisher, year, edition, pages
2019. , p. 27
Keywords [en]
psychology, power, discourse analysis, compliance, resistance
Keywords [sv]
psykologi, makt, diskursanalys, följsamhet, motstånd
National Category
Psychology
Identifiers
URN: urn:nbn:se:umu:diva-160098OAI: oai:DiVA.org:umu-160098DiVA, id: diva2:1323935
Educational program
Study Programme for University Diploma in Psychology
Supervisors
Examiners
Available from: 2019-06-13 Created: 2019-06-12 Last updated: 2019-06-13Bibliographically approved

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Citation style
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