Clients’ Practices for Resisting Treatment Recommendations in Japanese Outpatient Psychiatry

  • Shuya KushidaEmail author
  • Yuriko Yamakawa
Part of the The Language of Mental Health book series (TLMH)


Clients’ orientation to professional authority has been proposed as a way to explain their reluctance to participate actively in medical decision-making. This study describes some of the practices clients use to resist psychiatrists’ treatment recommendations in outpatient psychiatric consultations in Japan. It focuses on how the clients’ resistance practices influence the way the psychiatrist proceeds with the decision-making. The data analysis shows that while clients consistently avoid intruding into psychiatrists’ professional authority, clients methodically navigate the decision-making sequence toward a decision that is sensitive to their preference and concerns. This study argues that clients exert agency in treatment negotiations through practices to resist recommendations, and that these practices can be regarded as important opportunities for enhancing client participation in decision-making.


Resistance Client participation Agency Authority Medication adjustment Outpatient consultation Japan 



This study was funded by JSPS KAKENHI Grant Numbers 20200043, 21530496, 23330183, and 24530623.


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Copyright information

© The Author(s) 2020

Authors and Affiliations

  1. 1.Osaka Kyoiku UniversityKashiwaraJapan
  2. 2.Ibaraki Prefectural University of Health SciencesAmiJapan

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