Vignette research on messy and confusing problems in primary mental healthcare
Author(s) / Creator(s)
Smit, E. H. (Dineke)
Derksen, J. J. L. (Jan)
Abstract / Description
The average primary care psychologist feels an ever-widening gap between objective, measurable reality as described and the complex and dynamic reality they experience. To obtain a better understanding of this complex dynamic reality, we conducted an exploratory mixed-method study of primary care psychologists. We asked our participants to write vignettes about messy and confusing problems in the complex context of mental healthcare. We then examined the data in portions, exposed the patterns in the data, and subsequently analysed all in conjunction. The 113 vignettes showed experiences of psychologists dealing not only with the patient, but also with the family of the patient and/or employers, working together with other healthcare professionals, struggling with dilemmas and having mixed feelings. However, using the Cynafin Framework, 36% of the vignettes were still rated as simple. Was it because those vignettes contained fewer words (p = .006)? Or because it is difficult to grasp complexity when cause and effect are intertwined with emotions, norms and values? In the discussion, we suggest examining a complex dynamic system in terms of both the consistency of its various elements and the dynamics of the system. We also discuss how to optimize the system’s adaptive self-organizing ability and how to challenge ourselves to invent negative feedback loops that can keep the complex system in equilibrium.
Keyword(s)
complexity theory vignette study primary care psychology complexity mixed-method studyPersistent Identifier
Date of first publication
2017-05-31
Journal title
Europe's Journal of Psychology
Volume
13
Issue
2
Page numbers
300–313
Publisher
PsychOpen GOLD
Publication status
publishedVersion
Review status
peerReviewed
Is version of
Citation
Smit, E. H., & Derksen, J. J. L. (2017). Vignette research on messy and confusing problems in primary mental healthcare. Europe's Journal of Psychology, 13(2), 300–313. https://doi.org/10.5964/ejop.v13i2.1212
-
ejop.v13i2.1212.pdfAdobe PDF - 212.07KBMD5: fca44bec07d61da4fa6ac422aa07bef2
-
There are no other versions of this object.
-
Author(s) / Creator(s)Smit, E. H. (Dineke)
-
Author(s) / Creator(s)Derksen, J. J. L. (Jan)
-
PsychArchives acquisition timestamp2018-11-21T09:59:58Z
-
Made available on2018-11-21T09:59:58Z
-
Date of first publication2017-05-31
-
Abstract / DescriptionThe average primary care psychologist feels an ever-widening gap between objective, measurable reality as described and the complex and dynamic reality they experience. To obtain a better understanding of this complex dynamic reality, we conducted an exploratory mixed-method study of primary care psychologists. We asked our participants to write vignettes about messy and confusing problems in the complex context of mental healthcare. We then examined the data in portions, exposed the patterns in the data, and subsequently analysed all in conjunction. The 113 vignettes showed experiences of psychologists dealing not only with the patient, but also with the family of the patient and/or employers, working together with other healthcare professionals, struggling with dilemmas and having mixed feelings. However, using the Cynafin Framework, 36% of the vignettes were still rated as simple. Was it because those vignettes contained fewer words (p = .006)? Or because it is difficult to grasp complexity when cause and effect are intertwined with emotions, norms and values? In the discussion, we suggest examining a complex dynamic system in terms of both the consistency of its various elements and the dynamics of the system. We also discuss how to optimize the system’s adaptive self-organizing ability and how to challenge ourselves to invent negative feedback loops that can keep the complex system in equilibrium.en_US
-
Publication statuspublishedVersion
-
Review statuspeerReviewed
-
CitationSmit, E. H., & Derksen, J. J. L. (2017). Vignette research on messy and confusing problems in primary mental healthcare. Europe's Journal of Psychology, 13(2), 300–313. https://doi.org/10.5964/ejop.v13i2.1212
-
ISSN1841-0413
-
Persistent Identifierhttps://hdl.handle.net/20.500.12034/1048
-
Persistent Identifierhttps://doi.org/10.23668/psycharchives.1240
-
Language of contenteng
-
PublisherPsychOpen GOLD
-
Is version ofhttps://doi.org/10.5964/ejop.v13i2.1212
-
Keyword(s)complexity theoryen_US
-
Keyword(s)vignette studyen_US
-
Keyword(s)primary care psychologyen_US
-
Keyword(s)complexityen_US
-
Keyword(s)mixed-method studyen_US
-
Dewey Decimal Classification number(s)150
-
TitleVignette research on messy and confusing problems in primary mental healthcareen_US
-
DRO typearticle
-
Issue2
-
Journal titleEurope's Journal of Psychology
-
Page numbers300–313
-
Volume13
-
Visible tag(s)Version of Record