Communicating (with) Care ：A Linguistic Approach to the Study of Doctor-Patient Interactions ( Emerging Communication: Studies in New Technologies and Practices in Communication )

Publication subTitle ：A Linguistic Approach to the Study of Doctor-Patient Interactions

Publication series ：Emerging Communication: Studies in New Technologies and Practices in Communication

Author： Bigi; S.  

Publisher： Ios Press‎

Publication year： 2016

E-ISBN: 9781614996552

P-ISBN(Paperback): 9781614996545

Subject： C0 Social Science Theory and Methodology

Keyword： 社会科学理论与方法论

Language： ENG

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Description

At the start of studies on health communication, scholars were primarily concerned with showing the ethical implications of a new approach to care and with collecting evidence to demonstrate its greater effectiveness as opposed to the paternalistic and mechanistic paradigms. Well into the second decade of the 21st century, different issues need to be addressed. Aging populations and the spread of chronic diseases are challenging the sustainability of health care systems worldwide; increased awareness of health issues among the population and greater citizen participation seem to threaten clinicians’ authority. In this new scenario, it is acknowledged that the quality of verbal communication plays a crucial role, but it is still not clear how it impacts on the outcomes of care, which are its constitutive components and how it interacts with the institutional, cultural and social context of interactions. This book suggests that the time is ripe for a fresh start in health communication studies. As Debra Roter points out in her foreword, this proposal “is ambitious in attempting to integrate perspectives derived from pragmatics and argumentation theory with those derived from quantitative methods of medical interaction analysis and its prediction of outcomes”. On the other hand, as Giovanni Gobber explains in his foreword, “health communication can profit from an application of a performance-oriented linguistic analysis that pays attention to the role of the various relevant context factors in speech events related to specific activity types”. In this way, the open questions regarding communication in medical encounters are considered under a new light. The answers provided open up novel lines of research and provide an original perspective to face the new challenges in medical care.

Chapter

Title Page

Foreword by Giovanni Gobber

Foreword by Debra Roter

Contents

Introduction

The historical relevance of studies in health communication

The challenges posed by the aging population and chronic conditions

What kind of interdisciplinarity?

The structure of the book

`Technical' notes

Acknowledgments

References

The Conceptualization of Communication Underlying Different Paradigms of Care

Introduction

Disease centered care and paternalism

Patient centeredness and the idea of mutuality

Consumerism and the informed decision making model

Striving for balance: decision making and the `shared mind'

From paradigms to data: methods for the analysis of clinical interactions

References

The Functions of Communication in Medical Encounters

Introduction

Functions of communication in the medical encounter

Rapport building

Information exchange

Decision making

From communication to outcomes: what kind of connection?

References

Language Use and Context in Doctor-Patient Interactions

Introduction

The institutional dimension of context: medical encounters as activity types

Context, common ground and language use

The formation and interpretation of linguistic meaning in context

Common ground

Can doctor-patient encounters be considered as intercultural interactions?

Summing up

Methods for the analysis of interactions

References

The Deliberation Dialogue as a Model to Analyze Shared Decision Making

Introduction

Dialogue types

The deliberation dialogue

The structure of deliberation dialogues

The opening stage and the role of information exchange

The argumentation stage: finding agreement

The closing stage: determination

Proposals within deliberation and their felicity conditions

Promoting valid proposals during the argumentation stage: ``What do you think you could do?''

Setting the paradigm of relevant choices for proposals: ``Wine with coke..., I do not recommend it''

The reasoning leading to the formation of preferences

Deliberation in practice: can the model of the deliberation dialogue be used as an assessment tool?

Potential and problems of the application of the deliberation dialogue as a tool for the assessment of deliberation in medical encounters

Summing up and implications for further research on health communication

References

From Models to Practices

Introduction

Appropriate dialogical practices for diabetes care

At the origins of the project

Combining the Patient Health Engagement Model with the theory of dialogue types

The List of appropriate dialogical practices for diabetes care

From blackout to arousal

From arousal to adhesion

From adhesion to eudaimonic project

Healthy Reasoning

At the origins of the project

Active Aging

Concluding remarks

References

Subject Index

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