Patients must prove both problem authenticity and change motivation. Too much inability questions treatment potential. Too much ability questions need for specialist care. This creates a precarious balancing act in self-presentation.

Doctorability Dilemma in Chronic Pain Treatment Eligibility

Rhetorical requirement to present the issue in a way that aligns with institutional business. Must establish that the problem warrants clinical intervention and legitimation.

State University of New York at Binghamton

- Doctorable Problem
- Institutional Legitimation
- Psychiatric Disability Framing
- Accountability Management

The Defense Architecture: Why parents shift blame & secure legitimation

Lester, J. N. (Ed.). (2021). Discursive Psychology and Disability. Palgrave Studies in Discursive Psychology. Springer Nature Switzerland AG.

Reference For: Discursive Psychology and Disability

Successful rhetoric argues child's proposed mental health condition warrants medical profession validation. Medical intervention positioned as necessary solution.

Institutional Legitimation

By aligning behaviors with intrinsic pathology, difficulty receives medical explanation. Positions child (not parent) as the problem; suggests medical intervention decreases burden.

Psychiatric Disability Framing

Delicate balance parents must maintain: construct child's behavior as intrinsic pathology while avoiding allegations of poor parenting. Shifts blame away from parent to pathology.

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