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Psychologists' perspectives on supported decision making in Ireland.

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Title: Psychologists' perspectives on supported decision making in Ireland.
Authors: Rogers, E., Pilch, M., McGuire, B. E., Flynn, E., Egan, J.
Source: Journal of Intellectual Disability Research. Mar2020, Vol. 64 Issue 3, p234-245. 12p. 2 Charts.
Subjects: Attitude (Psychology), Decision making, Interviewing, Research methodology, Medical personnel, People with intellectual disabilities, Psychologists, Research, Statistical sampling, Qualitative research, Judgment sampling, Social constructionism, Social support, Thematic analysis
Geographic Terms: Ireland
Abstract: Background: A new legal capacity act was introduced in Ireland in 2015. This study aimed to identify and critically examine key issues in the area of decision‐making capacity from the perspective of psychologists working with adults with an intellectual disability. Methods: A qualitative exploratory approach was employed, and the study was positioned in a social constructionist framework. Purposive and snowballing sampling methods were used to recruit 15 clinical psychologists working with adults with an intellectual disability. Data were collected with the use of individual semistructured interviews. Interview transcripts were analysed using a model of thematic analysis. Results: Six themes were identified: (1) a presumption of capacity but a culture of incapacity, (2) supporting decision making as a process, (3) authenticity of decision making, (4) need for support and training, (5) contributions of psychology and (6) the way forward. Conclusions: Participants described that people with intellectual disabilities were often excluded from decision‐making processes. They welcomed the functional approach to decision making, considered substituted decision making to be necessary within a support framework and described supporting decision making as a process. Systemic, resource and attitudinal challenges were identified. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Psychologists' perspectives on supported decision making in Ireland.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Intellectual+Disability+Research%22">Journal of Intellectual Disability Research</searchLink>. Mar2020, Vol. 64 Issue 3, p234-245. 12p. 2 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Attitude+%28Psychology%29%22">Attitude (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Decision+making%22">Decision making</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+personnel%22">Medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22People+with+intellectual+disabilities%22">People with intellectual disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Psychologists%22">Psychologists</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+sampling%22">Judgment sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Social+constructionism%22">Social constructionism</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Ireland%22">Ireland</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Background: A new legal capacity act was introduced in Ireland in 2015. This study aimed to identify and critically examine key issues in the area of decision‐making capacity from the perspective of psychologists working with adults with an intellectual disability. Methods: A qualitative exploratory approach was employed, and the study was positioned in a social constructionist framework. Purposive and snowballing sampling methods were used to recruit 15 clinical psychologists working with adults with an intellectual disability. Data were collected with the use of individual semistructured interviews. Interview transcripts were analysed using a model of thematic analysis. Results: Six themes were identified: (1) a presumption of capacity but a culture of incapacity, (2) supporting decision making as a process, (3) authenticity of decision making, (4) need for support and training, (5) contributions of psychology and (6) the way forward. Conclusions: Participants described that people with intellectual disabilities were often excluded from decision‐making processes. They welcomed the functional approach to decision making, considered substituted decision making to be necessary within a support framework and described supporting decision making as a process. Systemic, resource and attitudinal challenges were identified. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=141527211
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1111/jir.12712
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 12
        StartPage: 234
    Subjects:
      – SubjectFull: Attitude (Psychology)
        Type: general
      – SubjectFull: Decision making
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Medical personnel
        Type: general
      – SubjectFull: People with intellectual disabilities
        Type: general
      – SubjectFull: Psychologists
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Statistical sampling
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      – SubjectFull: Qualitative research
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      – SubjectFull: Judgment sampling
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      – SubjectFull: Social constructionism
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      – SubjectFull: Social support
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Ireland
        Type: general
    Titles:
      – TitleFull: Psychologists' perspectives on supported decision making in Ireland.
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              Text: Mar2020
              Type: published
              Y: 2020
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