Department of Public Health, Aarhus University, Aarhus, Denmark.
DEFACTUM, Central Denmark Region, Aarhus, Denmark.
Med Anthropol. 2022 Aug;41(5):574-590. doi: 10.1080/01459740.2022.2102493. Epub 2022 Jul 29.
Across rehabilitation fields, rehabilitees and professionals meet to set rehabilitation goals. Portrayed as an ordinary, yet foundational practice in rehabilitation, participants often find goal-setting meetings challenging; ideal and real seem to clash. Based on a long-term fieldwork in Danish Parkinson's disease rehabilitation, we explore goal-setting and its rationale to gain insight into why goal-setting qualifies as challenging. We find that challenges relate to disease, organizational matters and an imbalance in institutional knowledge, but also that different logics, of choice, interdependence, and accountability, entangle and affect goal-setting. A competitive aspect between goal-setting logics appears pivotal to understand the challenges in goal-setting.
在康复领域,康复对象和专业人员会相聚一堂,共同设定康复目标。目标设定看似是康复实践中一项普通且基础的工作,但参与者往往发现这类会议极具挑战性;理想与现实似乎存在冲突。本研究基于对丹麦帕金森病康复的长期实地研究,我们探讨了目标设定及其基本原理,以深入了解为什么目标设定具有挑战性。我们发现,挑战与疾病、组织事务以及机构知识的不平衡有关,但也与选择、相互依存和责任的不同逻辑有关,这些逻辑相互交织并影响目标设定。目标设定逻辑之间的竞争因素似乎是理解目标设定挑战的关键。