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The purpose of this paper is to increase awareness of shared decision making, the initial aim of the study was to understand how psychiatrists-in-training defined themselves as unique among physicians with an eye on how professional identity might shape approach to care. The second aim was to use those definitions and descriptions related to professional identity and tailor a brief training module to promote awareness of the shared decision making model.

The authors do this by first conducting focus groups to ascertain how psychiatric residents characterize their professional identity and unique disciplinary characteristics. The authors then designed a brief training session that exploits the relationship between how they define themselves as physicians and how they approach clinical decision making with patients.

Three major themes that emerged from the focus group data: the central role of societal and treatment contexts in shaping their professional identity and approaches to care, a professional identity characterized by a great sense of pride, and a strong commitment to systematic decision-making processes in practice. While the assessment of the training module is preliminary and lacks rigor for any generalizability or statements of causality, responses likely affirm the training tailored around professional identity as a possible vehicle for effective exposure to the concept of shared decision making and served as a useful avenue for self-reflection about needed changes to more fully embrace the practice.

More inquiry may be needed into the association between trust, relationship longevity and power and paternalism, as a way to bring greater insight into the adoption of shared decision making. Future research will have to investigate whether or not including identity-related content is empirically connected to successful training on shared decision making. Likewise, future research should also look at the reciprocal impact of effectively using shared decision making on the affirmation of professional identity among psychiatrists, and indeed all who embrace patient-centered care.

This is the one of the first papers to investigate issues of professional identity among psychiatry residents, and also among the first papers to consider the relationship between professional identity and use of shared decision making.

The purpose of this paper is to address the relations between religiosity and mental health (MH) among the immigrants living in Brasília, as per the perceptions of MH service professionals.

It is grounded in empirical qualitative research based on semi-structured interviews with 12 professionals – six psychiatrists and six psychologists working in MH services throughout Brasília. The experiences and perceptions of these professionals were analysed in the light of phenomenological assumptions, and temporally situated in the historical context of the construction of Brazil’s capital city.

Results show that these professionals recognize the importance of immigrant support services paying attention to issues of religiosity connected to those of MH, in spite of never having received training on the theme in their qualification course work. They are critical of the oppressive aspects of some religions, but recognize the predominance of positive effects of religiosity.

Albeit exploratory by nature, and with a limited number of study subjects, the study opens the way for more in-depth investigations of this rarely addressed MH issue and recommends its application to greater numbers of professionals and other contexts.

The results can contribute to the MH policy decision-making processes for the immigrant population in Brasília and also for training the professionals working in providing care for this population.

To contribute to the development of a new MH model in which professionals can adopt a more open posture in regard to the traditional pathologizing models used to address the question of religious phenomena.

Albeit exploratory in nature, this study makes a contribution by opening the way for the issue of religiosity and its impacts on MH to become the object of more in-depth investigations conducted from a multidisciplinary and interdisciplinary perspective, targeting greater numbers of MH professionals and extended to other internal and external migratory contexts.

This study aims to explore the perspectives of psychiatrists with lived experiences and what their considerations are upon integrating the personal into the professional realm.

As part of a qualitative participatory research approach, participant observations during two years in peer supervision sessions (15 sessions with 8 psychiatrists with lived experiences), additional interviews as part of member feedback and a focus group were thematically analysed.

Although the decision to become a psychiatrist was often related to personal experiences with mental distress and some feel the need to integrate the personal into the professional, the actual use of lived experiences appears still in its early stages of development. Findings reveal three main considerations related to the personal (3.1), professionality (3.2) and clinical relevance (3.3) comprising 11 facilitators and 9 barriers to harness lived experiences.

This study was conducted locally and there are no similar comparable studies known. It was small in its size due to its qualitative nature and with a homogeneous group and therefore may lack generalisability.

Future directions to further overcome shame and stigma and discover the potential of lived experiences are directed to practice, education and research.

Psychiatrists with lived experiences valued the integration of experiential knowledge into the professional realm, even though being still under development. The peer supervision setting in this study was experienced as a safe space to share personal experiences with vulnerability and suffering rather than a technical disclosure. It re-sensitised participants to their personal narratives, unleashing its demystifying, destigmatising and humanising potential.

In most cases job satisfaction serves as a protective factor against burnout and the negative consequences of stress at work. Psychiatrists are reported to experience high prevalence of burnout yet their ability to enjoy work and derive satisfaction from it appears not to be impaired. This paper examines this anomaly and the factors that may affect job satisfaction. The consequences of job satisfaction on variables such as staff retention is examined and a comparative account of various rating scales for job satisfaction is presented.

Collaboration among professionals is essential for effective patient care, but gender stereotyping and discrimination practices in the health care environment may hinder effective teamwork. This study aims to investigate professional attitudes toward teamwork in a psychiatric setting with a particular emphasis on gender. The paper examines gender differences in attitudes among all professionals on a team and identifies gender differences among professionals within the same speciality, with particular attention to doctors and nurses.

Data were collected in the mental health hospital of Attiki, Greece. In total, 151 doctors, nurses and allied health professionals completed a self‐reported questionnaire.

The paper finds that females appear to be more receptive to teamwork: all doctors have similarities in their attitudes toward teamwork, but females reported stronger agreement on the values and culture of the team. Several differences appeared in male and female nurses' attitudes toward teamwork. The stereotype of nursing as a female occupation was found to affect male nurses' job satisfaction and decision‐making process, creating a barrier to effective collaboration.

The sample had few subgroups and self‐reporting questionnaires may not reflect participants' attitudes in real situations.

The study describes important aspects of gender stereotyping in the health care environment and adds to the literature on professional teamwork and communication.

Although there is substantial evidence about the association between frailty and mental illnesses in older people, there is currently little evidence about how this is integrated into psychiatric clinical practice. The purpose of this paper is to explore the attitudes of a sample of psychiatrists in the UK about the concept and assessment of frailty in their clinical practice.

This research used a qualitative approach with semi-structured interviews. Interview schedules and transcripts were analysed using thematic analysis. NVivo software and an audit trail were used for the data analysis.

There were ten respondents (all psychiatrists) in this study. From the interviews, it appeared that some respondents were not be fully familiar with existing concepts of frailty. However, from their perspectives, frailty appeared to be multidimensional, reversible and for some could be enhanced by older people’s ability. Negative stereotypes of being frail could undermine the accessibility to appropriate assessment and care. Existing multidisciplinary assessments, with some adjustments to the particular needs of psychiatric patients, can be used to establish a frailty index.

The concept of frailty, especially those concerning its multidimensional and homeostatic nature, should be further examined to make it more applicable to psychiatric practice. Without much more effort, frailty could be assessed within current psychiatric practices. This could constitute a care plan tailored for frail people with a psychiatric illness, so as to improve the outcomes of their treatment and quality of life.

This paper aims to describe the integrating and disintegrating effects of professional actions in customised care.

Using a qualitative case study, the authors examine the work practices and cultures of three Swedish child and adolescent psychiatric care units (CAP) charged with providing customised care in collaboration with other organisations. The authors conducted 62 interviews, made 11 half‐day observations, and shadowed employees for two days.

The social embeddedness of action is crucial to understanding the professions' integrating/disintegrating activities. In the internal social context of CAP, the professions adapt to productivity‐enhancing new public management (NPM) principles, resulting in integrating effects between the different professions and administrative management in the CAP units. However, CAP exercises professional dominance over the cooperating organisations. Thus, in the external social context, CAP's resistance to customised care principles exacerbates the disintegration problems among the different organisations.

The study concludes that, contrary to findings in many other studies, neither the professional logic nor NPM/customised care reforms determine the actions of professionals. In this case, the institutionalisation of some NPM methods blocks the adoption of customised care practices.

Contrary to the widely accepted idea that resource restriction is a main source of conflict between management and the professions, the professions accept and adapt to resource restrictions, even at the expense of de‐emphasising the practices of customised care. Thus, since professionals choose different operational strategies depending on the social context, the success of a normative reform measure may depend in part on its social context.

The aim of this study is to investigate sensemaking as interaction among team members in a multi‐professional team setting in a new public management context at a Swedish Child and Youth Psychiatric Unit.

A discursive pragmatic approach grounded in ethonomethodology is taken in the analysis of a treatment conference (TC). In order to interpret and understand the multi‐voiced complexity of discourse and of talk‐in‐interaction, the authors use dialogism in the analysis of the members' sensemaking processes. The analysis is based on the theoretical assumption that language and texts are the primary tools actors use to comprehend the social reality and to make sense of their multi‐professional discussions. Health care managers are offered insights, derived from theory and empirical evidence, into how professionals' communications influence multi‐professional cooperation. The team leader and members are interviewed before and after the observed TC.

Team members create their identities and positions in the group by interpreting and “misinterpreting” talk‐in‐interaction. The analyses reveal the ways the team members relate to their treatment methods in the discussion of a patient; advocating a treatment method means that the team member and the method are intertwined.

The findings may be valuable to health care professionals and managers working in teams by showing them how to achieve greater cooperation through the use of verbal abilities.

The findings and methods contribute to the international research on cooperation problems in multi‐professional teams and to the empirical research on institutional discourse through text and talk.

Shared decision making (SDM) prioritises joint deliberation between practitioner and service user, and a respect for service-users’ experiential knowledge, values and preferences. The purpose of this paper is to review the existing literature pertaining to key stakeholders’ attitudes towards SDM in mental health. It examines whether perceived barriers and facilitators differ by group (e.g. service user, psychiatrist, nurse and social worker) and includes views of what facilitates and hinders the process for service users and practitioners.

This review adopts the principles of a qualitative research synthesis. A key word search of research published between 1990 and 2016 was undertaken. Qualitative, quantitative and mixed methods studies were included.

In total, 43 papers were included and several themes identified for service user and practitioner perspectives. Both practitioners and service users see SDM as an ethical imperative, and both groups highlight the need to be flexible in implementing SDM, suggesting it is context dependent. A range of challenges and barriers are presented by both practitioners and service users reflecting complex contextual and cultural features within which interactions in mental health take place. There were qualitative differences in what service users and practitioners describe as preventing or enabling SDM. The differences highlighted point towards different challenges and priorities in SDM for service users and practitioners.

The presentation of nuanced views and attitudes that practitioners and service users hold represent an important and under reported area and offer insight into the reasons for the gap between idealised policy and actual practice of SDM in mental health settings.

The number of mental health professionals able to prescribe has, for a number of years, reached beyond medics, but UK clinical psychologists are not yet permitted to train to prescribe. The purpose of this paper is to ask if prescribing could be part of the clinical psychologist's role.

This article lays out three core areas of discussion: what was the drive for non‐medical prescribing? Could psychologists be trained to prescribe? Could prescribing be another tool for psychologists? Currently, UK clinical psychologists are not able to prescribe unless they have an additional qualification as a medic, pharmacist or nurse. This paper ends by considering the position of a clinical psychologist who is also a registered nurse and wonders about the pros and cons of training to prescribe.

It was argued that clinical clinical psychologists who are also registered nurses are best placed and currently perhaps the only clinical psychologists able to train to prescribe. The author questioned his motives for considering training to prescribe and looked at the risks in prescribing.

The author is unsure if he wants to pursue prescribing privileges but makes no objection to clinical psychologists prescribing.