The intrusion of the discourse of economics into the clinical space I: from patient to consumer

Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists
Michael Plastow

Abstract

Terms from the corporate sector and its allied field of management have found their way into the clinical domain. This development is co-extensive with social changes and even modifications in the manner in which our patients present to clinical services. To date there has been little discussion of such developments in the psychiatric literature. The movement from the use of the term 'patient' to that of 'consumer' will be examined as emblematic of a modification of the clinical relationship. The use of terms from economics has widely permeated our society. In an increasingly consumer-oriented society, the survey has become a study methodology of choice. Indeed, within psychiatry we have attempted to resolve the question of what to call our patients through surveys. There has been little discussion regarding the permeation of the language of economics in the clinical field and thus critiques of this process have arisen from other domains. It is argued that such changes have eroded the traditional clinical relationship of the psychiatrist and patient.

References

Jul 1, 1996·Psychiatric Services : a Journal of the American Psychiatric Association·K T MueserW Baber
Jan 15, 1999·The Medical Journal of Australia·B R Nair
Nov 4, 2005·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Raisa B DeberNatasha Sharpe
Apr 30, 2009·Psychotherapy and Psychosomatics·Jon N Jureidini, Leemon B McHenry
Sep 25, 2010·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Michael Plastow
Sep 25, 2010·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Michael Plastow

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Citations

Sep 25, 2010·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Michael Plastow
Sep 25, 2010·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Michael Plastow
Aug 20, 2011·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Alexander Simpson
Apr 8, 2015·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Melissa M Goldstein, Daniel G Bowers
Jul 17, 2021·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Dr Sophie Isobel

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