increased anxiety, which was seen to have an insidious impact on the confidence of all those involved in the admission:“…I think confidence (is helpful) and if you don’t have it then you pretend to have it” (Bella. Lines 129-131). In the absence of consensus, ostensibly rather modest differences in opinion were interpreted as becoming amplified and polarised. This was most notable in the way in which some participants highlighted the distinctive approach taken by the service and/or compared the service model to alternative approaches. The extracts below demonstrate the way in which stressing the differences between approaches could be seen to result in the formation of an and ‘us’ ‘them’ dynamic. view is) basically you leave people and you do “(the minimum care and…you don’t do any more than that, it’s very much that’s what they want you to do, that’s not what we do”. Sean. Lines 194-197. (hospital) (service). we’ve got That’s very different “…at from everywhere else in the Max. Lines 319-320. Beth: the impact of that (conflicting opinion)?” “What’s Sarah: think it makes people believe in our approach “I more”. 524-527. In some ways this dynamic appeared to be perpetuated by the very widely held perception amongst participants of a weak and inadequate evidence-base. Existing literature was widely regarded to be of poor quality on the basis of being in contrast to more rigorous and systematic evidence such as that ‘unscientific’ obtained from randomised control trials.
increased anxiety, which was seen to have an insidious impact on the confidence of all those involved in the admission:“…I think confidence (is helpful) and if you don’t have it then you pretend to have it” (Bella. Lines 129-131). In the absence of consensus, ostensibly rather modest differences in opinion were interpreted as becoming amplified and polarised. This was most notable in the way in which some participants highlighted the distinctive approach taken by the service and/or compared the service model to alternative approaches. The extracts below demonstrate the way in which stressing the differences between approaches could be seen to result in the formation of an ‘us’ and ‘them’ dynamic. “(the view is) basically you leave people and you do minimum care and…you don’t do any more than that, it’s very much that’s what they want you to do, that’s not what we do”. Sean. Lines 194-197. “…at (hospital) we’ve got (service). That’s very different from everywhere else in the Max. Lines 319-320. Beth: “What’s the impact of that (conflicting opinion)?” Sarah: “I think it makes people believe in our approach more”. 524-527. In some ways this dynamic appeared to be perpetuated by the very widely held perception amongst participants of a weak and inadequate evidence-base. Existing literature was widely regarded to be of poor quality on the basis of being ‘unscientific’ in contrast to more rigorous and systematic evidence such as that obtained from randomised control trials.
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