Real Life Medication Discussion: A Discursive Examination of Telehealth Consultations

Henning, Krysten (2012) Real Life Medication Discussion: A Discursive Examination of Telehealth Consultations. Honours thesis, University of Southern Queensland. (Unpublished)


Abstract

Future professional practice for psychologists may include prescription rights and telehealth consultation. Recommendations to extend psychological practice into these areas are a response to high medical workloads and waiting lists, and lack of access to healthcare in rural and remote areas. This article examines psychiatrist-client discursive negotiation of medication in telehealth consultations. Three clients presenting to a youth health service were video recorded during telehealth consultation with a psychiatrist. The audio of these recordings was transcribed verbatim, and sections of medication discussion from these transcripts were then transcribed with Jeffersonian conventions. These extracts were analysed line by line from a discursive psychology/conversation analysis approach. Findings suggest that medication recommendation was done asymmetrically and constructed with medication talk to seek acceptance from the client. Non-verbal client responses were found to be oriented to as continuers to further the medication talk, and verbal client confirmations were found to be oriented to as acceptance as medication recommendation. These findings suggest client acceptance may be oriented to differently in telehealth when compared to studies of face-to-face consultation, as explicit verbal confirmation of medication recommendation appears to be required. Future training of psychologists prescribing medication in telehealth could include seeking explicit client verbal confirmation of medication recommendation.


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Item Type: Thesis (Non-Research) (Honours)
Item Status: Live Archive
Additional Information: Current UniSQ staff and students can request access to this thesis. Please email research.repository@unisq.edu.au with a subject line of SEAR thesis request and provide: Name of the thesis requested and Your name and UniSQ email address
Faculty/School / Institute/Centre: Historic - Faculty of Sciences - Department of Psychology (Up to 30 Jun 2013)
Supervisors: Andrea Lamont-Mills
Qualification: Bachelor of Science (Honours)
Date Deposited: 01 Oct 2025 23:39
Last Modified: 01 Oct 2025 23:39
Uncontrolled Keywords: medication ; Telehealth ; psychiatrist ; conversation analysis ; discursive psychology
Fields of Research (2008): 17 Psychology and Cognitive Sciences > 1799 Other Psychology and Cognitive Sciences > 179999 Psychology and Cognitive Sciences not elsewhere classified
Fields of Research (2020): 52 PSYCHOLOGY > 5299 Other psychology > 529999 Other psychology not elsewhere classified
URI: https://sear.unisq.edu.au/id/eprint/52405

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