Communication and Medicine最新文献

Medical humanities: An alliance or an aberration? 医学人文：联盟还是异类？

Communication and Medicine Pub Date : 2026-04-06 DOI: 10.3138/commed-2025-0038

Srikant Sarangi

引用次数: 0

The nature of interprofessional collaboration between radiation therapists and radiation oncologists in the South African setting. 在南非设置放射治疗师和放射肿瘤学家之间的跨专业合作的性质。

Communication and Medicine Pub Date : 2026-01-01 Epub Date: 2025-04-16 DOI: 10.3138/commed-2024-0024

Marlene Coetzee, Germaine Lovric, Julius Thambura

{"title":"The nature of interprofessional collaboration between radiation therapists and radiation oncologists in the South African setting.","authors":"Marlene Coetzee, Germaine Lovric, Julius Thambura","doi":"10.3138/commed-2024-0024","DOIUrl":"https://doi.org/10.3138/commed-2024-0024","url":null,"abstract":"This study aims to explore the nature of interprofessional collaboration between radiation therapists (RTTs) and radiation oncologists (ROs) during radiation therapy (RT), with the shared goal of treating patients with radiation. Generally, there seems to be a lack of studies describing the nature of interprofessional collaboration between RTTs and ROs. The present study adopts an exploratory descriptive qualitative research design. The setting is the private and public RT departments situated in the Tshwane municipal area, Gauteng, South Africa. A variation is noted between the Health Professions Council of South Africa (HPCSA) scope of practice for RTTs, published in 1979, and the new scope circulated for comment in 2021. Practising RTTs and ROs have been invited to take part in semi-structured interviews by using expert purposive sampling. Ten radiation therapists and seven radiation oncologists were interviewed, and data analysis included content and thematic analysis. Two main themes emerging from the data were the dual purpose of collaborative communication and grappling with the collaborative communication divide. The findings indicate team structure issues, the fact that the two disciplines mostly work in separate locations, and the status of current communication being dominated by intermediaries are perceived by the participants to hinder collaborative communication between the two professional groups.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"20 2","pages":"117-126"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146166975","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

Communicating suffering in the context of medically assisted suicide: Psychological challenges and ethical discussion. 在医疗协助自杀的背景下传达痛苦：心理挑战和伦理讨论。

Communication and Medicine Pub Date : 2026-01-01 DOI: 10.3138/commed-2024-0002

Sara Patuzzo Manzati, Lidia Del Piccolo

{"title":"Communicating suffering in the context of medically assisted suicide: Psychological challenges and ethical discussion.","authors":"Sara Patuzzo Manzati, Lidia Del Piccolo","doi":"10.3138/commed-2024-0002","DOIUrl":"https://doi.org/10.3138/commed-2024-0002","url":null,"abstract":"Typically, one of the necessary conditions for accessing medically assisted suicide (MAS) is the presence of suffering that the patient deems intolerable, which is then communicated to the physician. During the consultation, the physician has the responsibility to explore this suffering, if the patient so wishes, to identify appropriate palliative care (PC) options to propose. However, the patient might desire to end life; thus, the physician is in the difficult position of offering forms of care directed at symptom relief and the preservation of life while the patient approaches the physician to request death through medical intervention. How can the physician's duty to verify the presence of intolerable suffering (a crucial yet inherently subjective and indisputable criterion based on the principle of self-determination) be reconciled with their obligation to offer PC, thereby encouraging the patient to actively engage in the therapeutic relationship through communication? This complex question, which intertwines ethical and psychological dimensions, will be the central focus of this contribution.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"20 2","pages":"167-174"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146166962","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

Communication and intercultural barriers in Swiss health care involving Spanish-Galician migrants: An exploratory study. 涉及西班牙-加利西亚移民的瑞士卫生保健中的沟通和跨文化障碍：一项探索性研究。

Communication and Medicine Pub Date : 2026-01-01 DOI: 10.3138/commed-2024-0017

Vanesa Rodríguez Tembrás

{"title":"Communication and intercultural barriers in Swiss health care involving Spanish-Galician migrants: An exploratory study.","authors":"Vanesa Rodríguez Tembrás","doi":"10.3138/commed-2024-0017","DOIUrl":"https://doi.org/10.3138/commed-2024-0017","url":null,"abstract":"This exploratory study examines communication and intercultural barriers faced by Spanish-Galician migrants in Swiss health care across two migration waves (1961 to 1980 and post-2008) and three generations. Drawing on ten semistructured interviews, the study explores how migration backgrounds, linguistic repertoires, and intercultural expectations shape health care experiences. Using a sociolinguistic framework combined with a thematic and discourse analysis, the findings show that the first-wave migrants, often with limited formal education, relied on Italian as a lingua franca and frequently involved their children and other family members as ad-hoc interpreters. In contrast, the second-wave migrants, who were generally better educated, were prepared for medical consultations in German and sought greater linguistic independence, though certain challenges persisted with Swiss German and interactional norms. Across both waves, multilingual health care staff, often with migrant backgrounds, played a central role in facilitating communication and trust, while professional interpreting services remained underused. The participants appreciated the longer consultations and shared decision-making in Swiss health care. However, they reported feeling emotionally isolated during critical life events, such as maternity, due to differing cultural norms. Thus, beyond language proficiency, cultural expectations shaped their perceptions of care. These findings highlight the interplay of linguistic and intercultural factors in shaping health care experiences and can potentially inform future research and policy on equitable health care access for migrant communities.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"20 3","pages":"277-292"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646928","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

The use of dialogical strategies to construct credibility in narratives of contested illnesses. 使用对话策略在有争议的疾病叙述中构建可信度。

Communication and Medicine Pub Date : 2026-01-01 Epub Date: 2025-04-16 DOI: 10.3138/commed-2024-0013

Roxana Delbene

{"title":"The use of dialogical strategies to construct credibility in narratives of contested illnesses.","authors":"Roxana Delbene","doi":"10.3138/commed-2024-0013","DOIUrl":"https://doi.org/10.3138/commed-2024-0013","url":null,"abstract":"This paper is a discourse analysis based on three illness narratives, known as autopathographies/memoirs, selected from a larger study. The memoirs were written in English by patients who suffered from contested illnesses. The memoirists report that as patients, they have encountered skepticism from their doctors regarding the doctorability of their conditions. Drawing on the theory of dialogism, the theory of memoirs, narrative analysis, and evaluation in linguistics, this paper argues that these memoirists answer their doctors, among other addressees, to vindicate themselves. They covertly claim that (a) their visceral authority is right and (b) their illness narratives are credible and real rather than imaginary. The close reading technique is used to analyze the memoirists' use of devices in the orientation section of the memoirs. Direct evidentials, combined with the mirative stance and deferred realization, are observed as firsthand sources of information. More specifically, prolepsis, ventriloquism, quotative evidential, and intertextuality are observed as secondhand sources of information. Whereas the devices associated with the firsthand sources of information enhance the subjective stance of the visceral authority as inalienable, the devices associated with the secondhand sources vouch for credibility by providing an objective source of information. In constructing credibility, these memoirs contribute to normalizing contested illnesses.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"20 2","pages":"143-153"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146166980","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

Gaze direction as framing for interaction in sign language-interpreted routine postnatal visits. 注视方向作为手语解释的常规产后随访中互动的框架。

Communication and Medicine Pub Date : 2026-01-01 Epub Date: 2025-04-15 DOI: 10.3138/commed-2024-0022

Marita Løkken

{"title":"Gaze direction as framing for interaction in sign language-interpreted routine postnatal visits.","authors":"Marita Løkken","doi":"10.3138/commed-2024-0022","DOIUrl":"https://doi.org/10.3138/commed-2024-0022","url":null,"abstract":"This study aims to gain insight into participants' use of gaze in sign language-interpreted consultations in health centres for babies and toddlers in the Norwegian context. The study investigates how gaze direction and eye contact frame the interaction between participants comprising mothers who are deaf and health personnel who are hearing. The empirical material is based on five video recordings of interpreted health consultations, and multimodal interaction analysis is used to examine the participants' use of gaze in these interactions. The analysis demonstrates differences in eye contact that provide participants with access to different footings because of their language modalities and language knowledge. The mothers and the sign language interpreters take responsibility for the interaction when the health professional is unaware of the importance of a specific gaze in sign language. When taking responsibility, they shift between frontstage and backstage activity. In addition, the mothers do not have full access to the interaction, even with sign language interpreters present. The findings show that it is imperative that health personnel know how to communicate with deaf parents and how to work with sign language interpreters.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"20 2","pages":"127-142"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146166953","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

Metaphors and identities in online descriptions of the experience of pain. 网络上对痛苦体验的描述中的隐喻和身份。

Communication and Medicine Pub Date : 2026-01-01 Epub Date: 2026-02-25 DOI: 10.3138/commed-2025-0011

Elena Semino, Yufeng Liu, Jane Demmen

{"title":"Metaphors and identities in online descriptions of the experience of pain.","authors":"Elena Semino, Yufeng Liu, Jane Demmen","doi":"10.3138/commed-2025-0011","DOIUrl":"10.3138/commed-2025-0011","url":null,"abstract":"Becoming seriously and/or chronically ill can challenge and disrupt our sense of who we are in terms of our bodies, minds, and social roles. Although a substantial literature exists on metaphor and illness, the use of metaphor to represent identities has received little attention. This article focuses on similes as a particularly relevant manifestation of metaphoricity in language. An 8-million-word corpus of contributions to the Pain Concern online forum is investigated via a combination of corpus linguistic methods and in-depth qualitative analysis. We explore how contributors to the forum use similes to describe their own (changing) self-perceptions due to living with pain and its consequences. To this end, we introduce and demonstrate a multicomponent analytical framework, which, as we show, is equally applicable to the analysis of metaphorical expressions. The framework includes a consideration of source concept, type of identity, and viewpoint. With regard to our data, we show how similes are used to convey mostly unwelcome changes in the person's perception of themselves in physical, psychological, and/or social terms, potentially resulting in estrangement, low self-esteem, isolation, and disempowerment. More broadly, we suggest that our framework is applicable to the study of metaphorical representations of identities in the context of illness generally.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":" ","pages":"265-276"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291351","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

(Un)certainty and risk communication on COVID-19 vaccines: A comparison between civilian and military discourse. （Un）关于COVID-19疫苗的确定性和风险沟通：民用和军事话语的比较。

Communication and Medicine Pub Date : 2026-01-01 Epub Date: 2025-04-15 DOI: 10.3138/commed-2024-0016

Roxanne Barbara Doerr

{"title":"(Un)certainty and risk communication on COVID-19 vaccines: A comparison between civilian and military discourse.","authors":"Roxanne Barbara Doerr","doi":"10.3138/commed-2024-0016","DOIUrl":"https://doi.org/10.3138/commed-2024-0016","url":null,"abstract":"One of the main, unsolved controversies that has developed throughout the COVID-19 emergency concerned the safety and multifaceted communication of its vaccine. Therefore, it represents an exemplary starting place for reflections on the linguistic and discursive strategies of medical risk and uncertainty communication enacted by authorities who must reassure and guide nonspecialists and professionals. The present study compares two institutions with differing communicative frameworks, i.e., the US Department of Defense, which follows a militaristic \"natural objectivism\" model implemented in the course of an emergency, and the World Health Organization (WHO), which raises ethical questions on the equity and humanitarian aspects of any vaccination delivery by means of a \"cultural relativism\" framework. The study makes use of two corpora consisting of various texts and documents (guides, press releases, memos, and frequently asked questions [FAQs]) from the two websites to examine their discursive and stylistic practices. The analysis begins with the multimodal risk communication presented in the two institutions' webpages on COVID-19 vaccines, complemented by a corpus stylistics and corpus-assisted discourse analysis on the aspects of storytelling, transparency, trust building, hedging, probability, and approximation. The study highlights, on the one hand, the DoD's confidence and continuous experience, but also its limited public information and, on the other hand, the WHO's transparency and trust engenderment, but also its emphasis on uncertainty. In conclusion, it argues and reflects on a possible convergence of the two approaches in providing reassuring and trustworthy health care communication in the face of uncertainty.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"20 2","pages":"189-203"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146166933","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

From withholding to accounting: A single case analysis on discursive interprofessionality in the pediatric clinic. 从扣缴到会计：一个个案分析话语跨专业在儿科诊所。

Communication and Medicine Pub Date : 2026-01-01 DOI: 10.3138/commed-2024-0003

Letizia Caronia, Federica Ranzani, Vittoria Colla, Silvia Demozzi

{"title":"From withholding to accounting: A single case analysis on discursive interprofessionality in the pediatric clinic.","authors":"Letizia Caronia, Federica Ranzani, Vittoria Colla, Silvia Demozzi","doi":"10.3138/commed-2024-0003","DOIUrl":"https://doi.org/10.3138/commed-2024-0003","url":null,"abstract":"In contemporary health care practices, clients often ask professionals to take into account, position toward, or otherwise deal with what other absent professionals (are said to) have said or done about the same issue. We call this phenomenon discursive interprofessionality (DI). This article focuses on a perspicuous case involving DI in childcare (i.e., how a pediatrician deals with the voice of the nursery educators reported by the parent of a 1-year-old baby in the pediatric clinic). Adopting a conversation analysis approach, this single-case study shows the pediatrician's reluctance to affiliate with a mother who constructs the nursery educators as unreliable witnesses of what occurs at the nursery. The analysis illustrates how the pediatrician's stance-taking toward the nursery educators' reported voice is locally occasioned and changes along a continuum, ranging from avoiding stance-taking to displaying affiliation with the nursery educators' reported voice. We contend that this varying positioning depends on what the client is doing by reporting the other professional's voice (i.e., undermining the professional's credibility). In conclusion, we stress the relevance and possible risks of DI for childcare professionals, who are regularly asked by parents to take a stance on what other institutional caregivers have (reportedly) said or done.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"20 2","pages":"175-188"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146166889","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

Narrative in bits and pieces: Moving between monologue and dialogue in the non-literary journal of a writer with dementia. 零零碎碎的叙述：在一位痴呆症作家的非文学日记中，在独白和对话之间移动。

Communication and Medicine Pub Date : 2026-01-01 DOI: 10.3138/commed-2025-0022

Boyd Davis, Dena Shenk

引用次数: 0