Communication and Medicine最新文献

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

Medical memes: Humour preferences among medical students.

Communication and Medicine Pub Date : 2024-11-01 DOI: 10.3138/cam-19.3-0002

Maria Kmita, Jessica Jozefczak

{"title":"Medical memes: Humour preferences among medical students.","authors":"Maria Kmita, Jessica Jozefczak","doi":"10.3138/cam-19.3-0002","DOIUrl":"10.3138/cam-19.3-0002","url":null,"abstract":"Medical humour within the medical community is a diverse and contextualised phenomenon that includes 'difficult' material that is cognitively challenging to non-insiders. This paper addresses the under-researched topic of medical students' humour and its link to medical identity formation, by exploring how the humour preferences of medical students from different cohorts regarding medical memes reflects changes in their medical identity at different stages of their studies. A total of 216 medical students rated 50 medically related memes of different difficulty levels targeting doctors, patients, students and other medical issues. The results reveal that when comparing cohorts earlier in their studies vs. later on, doctor- and student-targeted memes become less and less popular while the popularity of memes about patients and other medical issues remain stable. Overall, students find memes about doctors the least funny. Simple memes also were funnier for students early in their studies compared with those approaching graduation. Our findings indicate that students most strongly identify with student and doctor memes, as these concern their current and future selves most strongly. The fact that medical identity plays a significant role in medical humour preferences may indicate that students find insider humour emotionally bonding. Our study also shows the emotional influence of humour processing (represented by targets) can have a greater impact on students' humour preferences than the cognitive aspect (represented by difficulty levels).","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"19 3","pages":"256-270"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524606","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

Team talk and the evaluation of medical guidance documentation.

Communication and Medicine Pub Date : 2024-11-01 DOI: 10.3138/cam.25960

K Neil Jenkings

引用次数: 0

Migrant children's epistemic authority in paediatric consultations.

Communication and Medicine Pub Date : 2024-11-01 DOI: 10.3138/cam-19.3-0001

Federica Ceccoli, Claudio Baraldi

{"title":"Migrant children's epistemic authority in paediatric consultations.","authors":"Federica Ceccoli, Claudio Baraldi","doi":"10.3138/cam-19.3-0001","DOIUrl":"10.3138/cam-19.3-0001","url":null,"abstract":"Giving patients a voice in medical consultations and encouraging patient-centered communication are essential to improving the effectiveness and appropriateness of medical treatments. However, this is often difficult to achieve when patients are children, as paediatricians prefer to interact with parents and need parental consent. Drawing on a corpus of 12 authentic interactions recorded in an Italian diabetes outpatient clinic, this paper investigates the ways in which migrant children exercise agency and how this can be supported by paediatric diabetologists and sometimes by their parents. Adopting a discourse analysis approach, the paper identifies two ways in which children assert their agency by displaying epistemic authority, namely (1) by taking initiatives to trigger talk, and (2) by accepting the floor from other participants. Children's initiatives are produced that provide information, ask questions and sometimes contradict adults' utterances. Paediatricians usually support children's exercise of agency in such cases. Children's agency can also be promoted when children do not take the floor spontaneously but are encouraged to speak by pediatricians, who invite them to elaborate on their answers by using minimal positive feedback, by asking questions and by formulating and encouraging children's answers. The findings also show how parents' competition to take or hold the floor can hamper children's agency.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"19 3","pages":"207-220"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524616","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

Tensions between institutional and professional frames in team talk in gerontological social work. 老年社会工作团队谈话中机构与专业框架之间的紧张关系。

Communication and Medicine Pub Date : 2024-11-01 DOI: 10.3138/cam.25959

Elisabet Cedersund, Anna Olaison, Susanne Kvarnström

{"title":"Tensions between institutional and professional frames in team talk in gerontological social work.","authors":"Elisabet Cedersund, Anna Olaison, Susanne Kvarnström","doi":"10.3138/cam.25959","DOIUrl":"10.3138/cam.25959","url":null,"abstract":"Team meetings are central to social workers' decision-making practices. These meetings often function as a forum for collegial consultations, when applications are processed and recommendations on decisions are discussed. In this paper, we present findings from a case study on team talk and decision-making practices in gerontological social work. The data come from a body of material gathered within the framework of a larger project covering the process of assessing elder care for older persons in three Swedish municipalities. The case concerns an application, due to homelessness, from a couple for an apartment in special housing. The team meeting was analysed using a data-driven perspective within a micro-analytical approach to talk, focusing in detail on how conflicting perspectives in the assessment of the couple's needs are dealt with, and how tensions between divergent views and opinions are handled in relation to institutional and professional conversational frames. The findings show how the care managers (in Sweden the professional title for social workers working in elder care) negotiated the boundaries of responsibility and power within both the institutional and professional frames, revealing that the institutional frame dominated when it came to making decisions. The findings have implications for practice, as they give insight into the interactional dynamics involved in social workers' assessments when navigating different conversational frames within their decision-making practices.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"19 3","pages":"221-240"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524559","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’ 但这是一个必须先移除的魔法阵。

Communication and Medicine Pub Date : 2024-07-22 DOI: 10.1558/cam.24273

Daniel Oluwafemi Ajayi

引用次数: 0

Team talk and the evaluation of medical guidance documentation 团队谈话和医疗指导文件评估

Communication and Medicine Pub Date : 2024-07-12 DOI: 10.1558/cam.25960

K. N. Jenkings

引用次数: 0

Implications of HIV status disclosure 披露艾滋病毒感染状况的影响

Communication and Medicine Pub Date : 2024-07-12 DOI: 10.1558/cam.24959

Rachel G. A. Thompson, J. J. Nutor, Pascal Agbadi, E. Agbaglo, Geoffrey Anguyo

{"title":"Implications of HIV status disclosure","authors":"Rachel G. A. Thompson, J. J. Nutor, Pascal Agbadi, E. Agbaglo, Geoffrey Anguyo","doi":"10.1558/cam.24959","DOIUrl":"https://doi.org/10.1558/cam.24959","url":null,"abstract":"Disclosure of HIV status is critical for HIV prevention and control. However, although the benefits of HIV disclosure have received extensive documentation, the same cannot be said for its drawbacks. In the current study, we used a descriptive qualitative study design to highlight the implications of disclosure among 30 pregnant and postpartum women living with HIV in Uganda. We conducted a qualitative content analysis and found that healthcare professionals responded positively and supportively when HIV-positive pregnant and postpartum women disclosed their status, and that individuals who disclosed their status to their husbands but not to wider circles also experienced no mistreatment or discrimination. Contrarily, however, some husbands reacted unfavourably to their wife’s HIV-positive status when a larger audience was involved in the disclosure. In particular, we discovered that co-wives and in-laws promoted stigmatization, including violence, by husbands. The interaction between these HIV-positive women and their mothers also demonstrated both positive and negative implications. This counterintuitive attitude has the consequence of reducing the uptake of antiretroviral drugs. There is therefore a need for policies and initiatives that not only encourage disclosure to health professionals, spouses and a few close relatives or friends but prevent stigmatization, violence and other forms of abuse against HIV-positive women.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141652712","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