Chapter 7. The Negotiation of Prescribing Decisions: Some Good Practice Issues

  1. Dr Neil Harris BSc (Hons), RNM, RGN, PSI Diploma, PhD, Consultant Nurse Lecturer4,
  2. Dr John Baker MPhil, MSc, BNurs (Hons), RMN, CPN, PhD, postgraduate Lecturer4 and
  3. Professor Richard Gray PhD, MSc, BSc (Hons), RN, Dip HE, DLSHTM, FEANS Professor5
  1. Dr Alan Quirk Research Sociologist Research Fellow staff1,
  2. Dr Rob Chaplin Consultant Psychiatrist Fellow2,
  3. Dr Paul Lelliott Consultant Psychiatrist member director2 and
  4. Professor Clive Seale Professor3

Published Online: 27 OCT 2009

DOI: 10.1002/9781444316155.ch7

Medicines Management in Mental Health Care

Medicines Management in Mental Health Care

How to Cite

Quirk, A., Chaplin, R., Lelliott, P. and Seale, C. (2009) The Negotiation of Prescribing Decisions: Some Good Practice Issues, in Medicines Management in Mental Health Care (eds N. Harris, J. Baker and R. Gray), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444316155.ch7

Editor Information

  1. 4

    University of Manchester, UK

  2. 5

    University of East Anglia, Norwich, UK

Author Information

  1. 1

    Centre for Research on Drugs and Health Behaviour, Imperial College, UK

  2. 2

    Royal College of Psychiatrists' Research and Training, UK

  3. 3

    Queen Mary, University of London, UK

Publication History

  1. Published Online: 27 OCT 2009
  2. Published Print: 15 MAY 2009

ISBN Information

Print ISBN: 9781405132893

Online ISBN: 9781444316155



  • negotiation of prescribing decisions - good practice issues;
  • therapist–service user alliance;
  • examining shared decision - making;
  • engaging with service users' concerns;
  • sedation and mental clouding with antipsychotic medication;
  • block communication;
  • negotiated prescribing decision;
  • service user (SU) and consultant psychiatrist (C);
  • delivering information on adverse effects;
  • conversational solution to central dilemma for psychiatrists


This chapter contains sections titled:

  • Introduction

  • Shared decision-making in practice

  • Engaging with service users' concerns

  • Case example: a negotiated prescribing decision

  • Delivering information about adverse effects: How much, and when?

  • Conversational solution to a central dilemma for psychiatrists

  • Conclusion

  • Acknowledgements

  • References