Communication and Medicine最新文献

Who is Leading the Debate? Comparing Representations of the Public, Politicians and Experts in Newspaper Coverage of COVID-19 Policies in the UK. 谁在主导这场辩论？比较英国报纸对COVID-19政策报道中公众、政治家和专家的代表。

Communication and Medicine Pub Date : 2025-04-04 DOI: 10.3138/cam-2025-0202

Yuze Sha, Gavin Brookes

{"title":"Who is Leading the Debate? Comparing Representations of the Public, Politicians and Experts in Newspaper Coverage of COVID-19 Policies in the UK.","authors":"Yuze Sha, Gavin Brookes","doi":"10.3138/cam-2025-0202","DOIUrl":"https://doi.org/10.3138/cam-2025-0202","url":null,"abstract":"This article presents a critical discourse analysis comparing linguistic representations of the public, experts, and politicians in UK newspaper reporting on COVID-19 policies. The analysis focuses on 120 articles published between 2020 and 2022, sourced from four national newspapers representing a cross-section of political leanings and formats. Quantitative and qualitative analyses of references and quotations suggest that the public is primarily represented as a collective entity, with functional references, rather than as distinct individual actors. Moreover, although the public is the most frequently mentioned among the groups considered, their engagement is mostly conveyed through emotional expressions of vulnerability, with little representation of individual voices. In contrast, politicians are depicted as individuals with far greater agency. Public health experts, meanwhile, are represented as having a marginal role in influencing policy decisions. The analysis of direct quotations carried in the media demonstrates that the stances expressed toward policies in such quotations consistently align with the ideological orientations of the newspapers across all three social groups. In newspapers with distinct left- or right-leaning perspectives, direct quotes tend to show greater levels of policy disagreement than in less ideologically polarised publications. Given that news discourse has been found to strongly influence public perceptions of public health policies, we suggest that the public might be better served by newspaper coverage of health crises that counters the trend of prioritising political biases over evidence-based conclusions. Moreover, featuring the perspectives of the public more prominently in such coverage might enhance positive policy engagement from some sections of the public.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":" ","pages":"e20250202"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Person Reference and Related Attributes in Positive and Negative Yelp Hospital Reviews. 正面和负面Yelp医院评论中的人员参考和相关属性。

Communication and Medicine Pub Date : 2025-04-04 DOI: 10.3138/cam-2024-0025

Camilla Vásquez, Melike Akay

{"title":"Person Reference and Related Attributes in Positive and Negative Yelp Hospital Reviews.","authors":"Camilla Vásquez, Melike Akay","doi":"10.3138/cam-2024-0025","DOIUrl":"https://doi.org/10.3138/cam-2024-0025","url":null,"abstract":"In the last decade, a number of studies from medical sciences have analyzed data from the reviewing platform Yelp to explore patient satisfaction. Many of these have adopted a thematic analytic approach and have consistently found that patients tend to discuss nonclinical issues far more frequently than they do clinical issues. Specifically, patient narratives frequently mention interpersonal interactions and communications with physicians and staff. Our study builds on this scholarship by providing a more fine-grained discourse analysis of Yelp reviews in order to better understand the ways in which patients refer to their encounters and interactions with doctors, nurses, and staff members in a set of hospital reviews. Our analysis of 100 positive and negative reviews of 10 hospitals found that reviews were often written by family members on behalf of patients rather than by the patients themselves. In addition, reviewers were far more likely to name specific individuals in positive reviews; conversely, negative reviews featured more impersonal constructions. The study also found that different types of linguistic resources (i.e., adjectives versus verbs) were used by reviewers for positively evaluating physicians and nurses, respectively, and that negative reviews of physicians, nurses, and staff discussed a range of different communicative behaviors. Finally, our findings suggest that some complaints about hospital employees may, in fact, point to larger, organization-level problems.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":" ","pages":"e20240025"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Changes in a Therapeutic Intervention and the Patient's Responses to this Intervention Over the Course of Therapy: A Longitudinal Case Study. 治疗干预的变化和患者在治疗过程中对这种干预的反应：一项纵向病例研究。

Communication and Medicine Pub Date : 2025-04-04 DOI: 10.3138/cam-2025-0004

Carolina Fenner

{"title":"Changes in a Therapeutic Intervention and the Patient's Responses to this Intervention Over the Course of Therapy: A Longitudinal Case Study.","authors":"Carolina Fenner","doi":"10.3138/cam-2025-0004","DOIUrl":"https://doi.org/10.3138/cam-2025-0004","url":null,"abstract":"To examine change in psychotherapeutic conversations, Conversation Analysis (CA) can be a powerful tool. The present study goes beyond previous studies for conducting a longitudinal analysis of psychotherapy by focusing on both conversational partners equally-the therapist and her interventions and the patient and her responses. Video recordings of sessions involving an entire outpatient psychodynamic psychotherapy in the German language serve as database. The analysis demonstrates evidence of change in the actions of both participants. The therapist, for example, changes her choice of words over the course of the therapy, indicating in later sessions that she relies on previous interventions and assumes that the patient has gained knowledge. In the first half of the therapy, the patient offers usually dispreferred responses. Toward the end of the therapy, she offers less dispreferred responses but still does not cooperate completely. This study shows how changes in both the therapist's interventions and the patient's responses can be recognized over the course of psychotherapy sessions, even if these changes are rather small.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":" ","pages":"e20250004"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond the Detox Myth: A Corpus-Assisted Discourse Study of Science and Pseudoscience Online. 超越排毒神话：语料库辅助下的科学与伪科学话语研究。

Communication and Medicine Pub Date : 2025-04-04 DOI: 10.3138/cam-2024-0020

Cecilia Lazzeretti

引用次数: 0

Construing the Reader of Hospital Pharmacy Instructions: How Do Readers-in-the-Text Reflect the Writers' Views of Model Readers? 《医院药学说明书》读者的建构：文本读者如何反映作者对模范读者的看法？

Communication and Medicine Pub Date : 2025-04-04 DOI: 10.3138/cam-2025-0203

Henri Satokangas

引用次数: 0

Sidelined by the Side-Eye: Exploring the Effects of Nonverbal Communication in Healthcare Services for 2SLGBTQI+ Patients. 被侧目边缘化：探讨非语言沟通在2SLGBTQI+患者医疗服务中的作用。

Communication and Medicine Pub Date : 2025-04-04 DOI: 10.3138/cam-2025-0204

Tara La Rose, Albina Veltman

{"title":"Sidelined by the Side-Eye: Exploring the Effects of Nonverbal Communication in Healthcare Services for 2SLGBTQI+ Patients.","authors":"Tara La Rose, Albina Veltman","doi":"10.3138/cam-2025-0204","DOIUrl":"https://doi.org/10.3138/cam-2025-0204","url":null,"abstract":"\u0000 Drawing on a subset of the research data from the Queer Queering and Questioning (QQQ) project, a qualitative study examining patient and provider perceptions of good-quality healthcare for people who identify themselves as 2SLGBTQI+ (Two Spirit, Lesbian, Gay, Bisexual, Trans, Queer/Questioning and/or Intersex+), this paper explores the significance of nonverbal communication in shaping healthcare experiences for 2SLGBTQI+ patients. Using data from 68 individual interviews and 11 focus groups, constructivist-grounded theory approaches, including reflexive thematic coding and continuous coding, were used to reveal the effects of unconscious nonverbal communication on patients' experiences. The analysis of the participant narratives suggests that greater attention to communication skills and critical reflexivity in health professional education and training would improve the patient experience by supporting healthcare professionals to manage unconscious responses and by providing professionals with better knowledge and resources to care for the needs of 2SLGBTQI+ patients. Attention to the clinical space and the design of physical environments to demonstrate knowledge, care, and concern for 2SLGBTQI+ patients would also enhance positive outcomes.\u0000 ","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":" ","pages":"e20250204"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transforming Doctor-Patient Communication: Internet and Telemedicine in Simulation-Based Medical Training. 转变医患沟通：基于模拟的医学培训中的互联网和远程医疗。

Communication and Medicine Pub Date : 2025-04-04 DOI: 10.3138/cam-2025-0201

Alexandra Csongor, Csilla Egyed, Judit Fekete, Anikó Hambuch, Renáta Nagy

{"title":"Transforming Doctor-Patient Communication: Internet and Telemedicine in Simulation-Based Medical Training.","authors":"Alexandra Csongor, Csilla Egyed, Judit Fekete, Anikó Hambuch, Renáta Nagy","doi":"10.3138/cam-2025-0201","DOIUrl":"https://doi.org/10.3138/cam-2025-0201","url":null,"abstract":"At present, doctor-patient communication is undergoing significant transformation due to digital technologies. The rise of the internet, social media, and digital tools that support medical purposes requires that doctors have new skills. This study presents the experiences of a new course for undergraduate medical students at the University of Pécs Medical School in Hungary. The course endeavors to demonstrate the internet's impact on the doctor-patient relationship by giving medical students the opportunity to practice communication strategies with 'Google patients' and e-patients, and use telemedicine in simulation-based training. We also explain how simulated patient consultations and feedback are incorporated into the curriculum and the methods used to prepare the students for these interactions. We explored the students' evaluations with the help of a course feedback questionnaire and written reflective essays. Based on the responses, students were satisfied with the training content and found the course innovative and relevant in the post-pandemic period. They highlighted the novel combination of theoretical teaching with simulation training and emphasized the need for practice in the field.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":" ","pages":"e20250201"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Formulating problems in psycho-social rehabilitation: Narrative activity within the boundaries of an institutional framework. 提出社会心理康复中的问题：机构框架内的叙事活动。

Communication and Medicine Pub Date : 2024-11-01 DOI: 10.3138/cam.25958

Chiara Piccini, Antonella Carassa

{"title":"Formulating problems in psycho-social rehabilitation: Narrative activity within the boundaries of an institutional framework.","authors":"Chiara Piccini, Antonella Carassa","doi":"10.3138/cam.25958","DOIUrl":"10.3138/cam.25958","url":null,"abstract":"This article presents a study on team talk in psychosocial rehabilitation with reference to collective decision making. It focuses on problem formulation processes that occur during weekly team meetings in a Swiss organization providing psychosocial rehabilitation to chronic mental health patients. The corpus of team meetings (34 hours of recorded talk) was analyzed along three narrative dimensions: participation framework, timeline organization and forms of evaluation. The analysis was supported by ethnographic information (field notes collected during participant observation over ten months), in order to access the local conception and organization of rehabilitation work, which is repeatedly referred to and reshaped through discourse. The discursive practices identified show that team members learn to formulate problems in a way that allows them to identify and plan interventions in line with their rehabilitation model and the actual opportunities they have. Further, the role-related forms of participation highlight how different professionals contribute to the problem formulation in specific ways. In sum, the interaction turns out to be strongly centralized around the role of a meeting coordinator, who is able to enhance the participation of the other team members and to build institutional narratives on the basis of individual contributions, carrying out discursive work that can be metaphorically described as the weaving and knotting threads that make up a tapestry.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"19 3","pages":"284-301"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Metaphor and therapeutic potential in cancer discourse: A comparative case study of American and Nigerian self-help books. 癌症话语中的隐喻和治疗潜力：美国和尼日利亚自助书籍的比较案例研究。

Communication and Medicine Pub Date : 2024-11-01 DOI: 10.3138/cam.28945

James Chike Nwankwo

{"title":"Metaphor and therapeutic potential in cancer discourse: A comparative case study of American and Nigerian self-help books.","authors":"James Chike Nwankwo","doi":"10.3138/cam.28945","DOIUrl":"10.3138/cam.28945","url":null,"abstract":"Sickness does not involve just the human body but also has a psychological dimension, and a number of studies have identified the positive psychological potential of self-help books in relation to illness. This paper examines metaphorical mappings employed in describing cancer patients in self-help books, undertaking a comparison of an American and a Nigerian work and identifying new categorisations and highlighting their therapeutic potential. It seeks to answer the following questions: what new metaphorical categories can be identified in Nigerian and American self-help books?; what therapeutic potential do they have?; and what similarities/differences can be identified in these self-help books? The sample size is 102 self-help stories, of which 24 instances were considered relevant for close analysis. This study adopts the Conceptual Metaphor Theory (CMT) approach and employs the Metaphor Identification Procedure (MIP) and methodologies concerned with the comparison and categorisation of metaphoric membership. The findings focus on four metaphorical categories: military, journey, personification and sports. The difference between the Nigerian and American self-help books lies in the contextualised manner of metaphorical presentation. In particular, the findings highlight sports metaphors in the American books as possessing more therapeutic tendencies due to the presence of humour, trivialisation, self-deprecation and satire. This category reflects that humour can ease stress and anxiety/panic and aid relaxation.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"19 3","pages":"271-283"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'But this is a wizardry something that has to be removed first': Relational negotiation of diagnoses and experiences of schizophrenia in Nigerian mental health clinics. 但这是必须先去除的巫术"：尼日利亚精神健康诊所对精神分裂症的诊断和体验的关系协商。

Communication and Medicine Pub Date : 2024-11-01 DOI: 10.3138/cam.24273

Daniel Oluwafemi Ajayi

引用次数: 0