Communication and Medicine最新文献_第2页

"That is somebody's husband": Face-saving strategies in doctor-patient interaction in a public health facility in Kenya. “那是某人的丈夫”：肯尼亚一家公共卫生机构医患互动中的面子策略。

Communication and Medicine Pub Date : 2026-01-01 Epub Date: 2025-04-17 DOI: 10.3138/commed-2024-0021

Melvin Ouma-Odero

{"title":"\"That is somebody's husband\": Face-saving strategies in doctor-patient interaction in a public health facility in Kenya.","authors":"Melvin Ouma-Odero","doi":"10.3138/commed-2024-0021","DOIUrl":"https://doi.org/10.3138/commed-2024-0021","url":null,"abstract":"This study examines face-work and politeness strategies during interactions between a female doctor and two male patients presenting with sexual and reproductive health issues at a public hospital in Kenya. Grounded in the conceptual frameworks of face-work and politeness, this study explores how face-saving and face-threatening acts are managed in medical encounters. It considers the cultural and gendered aspects of politeness in these interactions. The analysis of the qualitative data collected through recordings, participant observation, and a follow-up interview with the doctor has led to the following findings. The doctor uses indirect language and culturally sensitive communication to preserve the male patients' positive face, particularly around stigmatized issues such as sexually transmitted infections. The male patients employ defensive face-work to maintain their social image and masculinity. This study sheds light on the power dynamics, politeness strategies, and cultural norms that shape doctor-patient interactions in reproductive health settings, contributing to a deeper understanding of gendered communication in healthcare.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"20 2","pages":"154-166"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146166525","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

"I do not know these words, neither does he": Unravelling multilingual and multiparty communication in speech and language therapy. “我不知道这些词，他也不知道”：言语和语言治疗中的多语和多方沟通。

Communication and Medicine Pub Date : 2026-01-01 Epub Date: 2025-04-15 DOI: 10.3138/commed-2024-0011

Sione Twilt, Jan D Ten Thije, Karin Neijenhuis, Rick de Graaff

{"title":"\"I do not know these words, neither does he\": Unravelling multilingual and multiparty communication in speech and language therapy.","authors":"Sione Twilt, Jan D Ten Thije, Karin Neijenhuis, Rick de Graaff","doi":"10.3138/commed-2024-0011","DOIUrl":"https://doi.org/10.3138/commed-2024-0011","url":null,"abstract":"Speech language therapists (SLTs) are often challenged in their work with patients with different communication vulnerabilities. Even though SLTs are trained experts in communication, experiences from the field indicate that they often feel uncertain in interactions with multilingual patients and their families. This paper explores how language discordance between SLTs and multilingual parents influences regular institutional interaction. A discourse analysis is conducted on 33 authentic transcripts of specific discourse types between SLTs, parents, and their children within a multilingual constellation. Three emerging themes are discussed: (a) applied interactional strategies (b) involving the child in interaction and (c) addressing future parental engagement in therapy. By reconstructing discourse it is apparent that the knowledge of SLTs and parents does not always align, which influences the transfer of this knowledge, resulting in less achievement of interactional goals. When a language discordance is present, the participants have no equal access to interpretative processes in communication due to different linguistic and cultural frameworks, leading to less successful interactions and an asymmetrical relation between the participants. In successful interactions, alignment and shared decision-making are achieved through discourse by actively involving the patients and the parents, creating shared responsibility, and applying supportive communicative strategies for inclusive multilingualism.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"20 2","pages":"97-116"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146166564","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

Nurses' perspectives on supporting patient participation in atrial fibrillation (AF) treatment: A study of communication patterns. 护士对支持患者参与房颤治疗的观点：一项交流模式的研究。

Communication and Medicine Pub Date : 2026-01-01 Epub Date: 2026-02-25 DOI: 10.3138/commed-2024-0005

Ulla Hellström Muhli, Eleni Siouta

{"title":"Nurses' perspectives on supporting patient participation in atrial fibrillation (AF) treatment: A study of communication patterns.","authors":"Ulla Hellström Muhli, Eleni Siouta","doi":"10.3138/commed-2024-0005","DOIUrl":"10.3138/commed-2024-0005","url":null,"abstract":"This qualitative study explores nurses' perspectives on consultations in the treatment of atrial fibrillation (AF). The aim is to discover whether and how nurses support patient participation and how they talk about it. The data consist of transcribed interviews with ten nurses working in cardiac care at four Swedish hospitals. The analytical approach is a combination of content analysis and discourse analysis. The findings reveal the following interactive and communicative themes in supporting patient participation: Nurse's Routine Components: Routine interactions such as providing information during each visit, ensuring patient understanding, and encouraging active patient questions. Nurse's Knowledge-Based Contributions: Providing patients with knowledge about treatment options, their mechanisms, and the associated pros and cons. Nurses observe and address patient concerns, taking an active role in guiding patients through the AF treatment. Nurse's Intersubjective Alignment with the Patient: Forming genuine connections. This involves exchanging experiences, demonstrating empathy, and recognizing a shared humanity; accepting patients' vulnerabilities, showing compassion, creating a safe space for expressing concerns; and allowing patients the necessary time to make decisions. All contribute to a person-centered approach involving patient participation. The study's communication-based approach offers useful insights for reflecting on how patient participation and the social values of nurses' professional caring work within cardiology can be understood and developed as a caring communication activity type (CCAT).","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":" ","pages":"232-249"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291338","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

Anatomy of a conversation: Voices of dual-role medical interpreters. 对话剖析：双重角色医学口译员的声音。

Communication and Medicine Pub Date : 2026-01-01 Epub Date: 2026-02-25 DOI: 10.3138/commed-2025-0013

Karol Hardin

{"title":"Anatomy of a conversation: Voices of dual-role medical interpreters.","authors":"Karol Hardin","doi":"10.3138/commed-2025-0013","DOIUrl":"10.3138/commed-2025-0013","url":null,"abstract":"Interpreted communication in the medical domain is inherently complex, but due to the cost of professional interpretation in outpatient settings, qualified bilingual speakers or even untrained interpreters are common in the United States. With its focus on the use of language, conveyed meanings, and construction of social relationships, linguistic pragmatics provides a useful framework to analyze interpreted communication. The data comprised 57 video-recorded encounters between Spanish-speaking patients and family medicine clinicians, mediated by Spanish-speaking medical personnel who also served as interpreters. This study applied the framework of voices (forms of talk) to examine the roles of untrained, dual-role interpreters with Spanish-speaking patients in medical conversations. A grounded qualitative analysis revealed communicative functions and discourse strategies within four different voices. The analysis further identified recurring ways that speakers frame meaning to align with both doctors and patients. The findings elucidate the language mediators' dynamic medical, linguistic, and interpersonal roles, highlighting the importance of context in health communication practice. The excerpts from selected interactions illustrate the complex collaborative work that these language mediators accomplish, including professional teamwork, explaining medical facts, creating natural conversation, and fostering human connection. The findings can be applied to training dual-role interpreters for specific contexts in outpatient settings.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":" ","pages":"216-231"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291421","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

Making sense of sense-making: The challenge of navigating interactional competence in dementia care. 理解理解：在痴呆症护理中导航互动能力的挑战。

Communication and Medicine Pub Date : 2026-01-01 Epub Date: 2026-02-25 DOI: 10.3138/commed-2025-0014

Alison Pilnick, Isabel Windeatt-Harrison, Rebecca O'Brien, Suzanne Beeke, Lauren Bridgstock, Rowan H Harwood

{"title":"Making sense of sense-making: The challenge of navigating interactional competence in dementia care.","authors":"Alison Pilnick, Isabel Windeatt-Harrison, Rebecca O'Brien, Suzanne Beeke, Lauren Bridgstock, Rowan H Harwood","doi":"10.3138/commed-2025-0014","DOIUrl":"10.3138/commed-2025-0014","url":null,"abstract":"Difficulties with communication present a challenge not just for people living with dementia (PLWD) themselves but also for those who care for them. This challenge is amplified in acute care environments with unfamiliar surroundings and staff. Drawing on a wider study using video-recorded data to identify practices to manage or avoid distress for PLWD in the acute hospital, we use conversation analysis to explicate some of the reasons why challenges can arise and consider the implications of this. Previous work has shown that while PLWDs' transactional ability with language may decline, more foundational skills can still persist, notably abilities to produce responsive talk, which follows the rules of turn-taking and displays an orientation to sequence organization. We show that these abilities can also extend to recognizing the lack of orientation to these features in the talk of others. Examples include PLWD drawing attention to missing or inadequate responses to questions from staff, seeking accounts for unaccounted-for actions, and identifying inappropriate referents. Our findings show that even when PLWD are not oriented to time or place and their talk is hard to interpret semantically, staff should not assume that interactional competence is entirely absent.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":" ","pages":"250-264"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345396","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

"That is somebody's husband": Face-saving Strategies in Doctor-Patient Interaction in a Public Health Facility in Kenya. “那是某人的丈夫”：肯尼亚一家公共卫生机构医患互动中的面子策略。

Communication and Medicine Pub Date : 2025-04-17 DOI: 10.3138/cam-2024-0021

Melvin Ouma-Odero

{"title":"\"That is somebody's husband\": Face-saving Strategies in Doctor-Patient Interaction in a Public Health Facility in Kenya.","authors":"Melvin Ouma-Odero","doi":"10.3138/cam-2024-0021","DOIUrl":"https://doi.org/10.3138/cam-2024-0021","url":null,"abstract":"This study examines face-work and politeness strategies during interactions between a female doctor and two male patients presenting with sexual and reproductive health issues at a public hospital in Kenya. Grounded in the conceptual frameworks of face-work and politeness, this study explores how face-saving and face-threatening acts are managed in medical encounters. It considers the cultural and gendered aspects of politeness in these interactions. The analysis of the qualitative data collected through recordings, participant observation, and a follow-up interview with the doctor has led to the following findings. The doctor uses indirect language and culturally sensitive communication to preserve the male patients' positive face, particularly around stigmatized issues such as sexually transmitted infections. The male patients employ defensive face-work to maintain their social image and masculinity. This study sheds light on the power dynamics, politeness strategies, and cultural norms that shape doctor-patient interactions in reproductive health settings, contributing to a deeper understanding of gendered communication in healthcare.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":" ","pages":"e20240021"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043768","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. 运用对话策略构建争议性疾病叙事的可信度。

Communication and Medicine Pub Date : 2025-04-16 DOI: 10.3138/cam-2024-0013

Roxana Delbene

{"title":"The Use of Dialogical Strategies to Construct Credibility in Narratives of Contested Illnesses.","authors":"Roxana Delbene","doi":"10.3138/cam-2024-0013","DOIUrl":"https://doi.org/10.3138/cam-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":" ","pages":"e20240013"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000566","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 Nature of Interprofessional Collaboration between Radiation Therapists and Radiation Oncologists in The South African Setting. 南非背景下放射治疗师和放射肿瘤学家跨专业合作的性质。

Communication and Medicine Pub Date : 2025-04-16 DOI: 10.3138/cam-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/cam-2024-0024","DOIUrl":"https://doi.org/10.3138/cam-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":" ","pages":"e20240024"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989964","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 : 2025-04-15 DOI: 10.3138/cam-2024-0022

Marita Løkken

{"title":"Gaze Direction as Framing for Interaction in Sign Language-Interpreted Routine Postnatal Visits.","authors":"Marita Løkken","doi":"10.3138/cam-2024-0022","DOIUrl":"https://doi.org/10.3138/cam-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":" ","pages":"e20240022"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051549","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

"I do not know these words, neither does he": Unravelling Multilingual and Multiparty Communication in Speech and Language Therapy. “我不知道这些词，他也不知道”：言语和语言治疗中的多语言和多方交流。

Communication and Medicine Pub Date : 2025-04-15 DOI: 10.3138/cam-2024-0011

Sione Twilt, Jan D Ten Thije, Karin Neijenhuis, Rick de Graaff

{"title":"\"I do not know these words, neither does he\": Unravelling Multilingual and Multiparty Communication in Speech and Language Therapy.","authors":"Sione Twilt, Jan D Ten Thije, Karin Neijenhuis, Rick de Graaff","doi":"10.3138/cam-2024-0011","DOIUrl":"https://doi.org/10.3138/cam-2024-0011","url":null,"abstract":"Speech language therapists (SLTs) are often challenged in their work with patients with different communication vulnerabilities. Even though SLTs are trained experts in communication, experiences from the field indicate that they often feel uncertain in interactions with multilingual patients and their families. This paper explores how language discordance between SLTs and multilingual parents influences regular institutional interaction. A discourse analysis is conducted on 33 authentic transcripts of specific discourse types between SLTs, parents, and their children within a multilingual constellation. Three emerging themes are discussed: (a) applied interactional strategies (b) involving the child in interaction and (c) addressing future parental engagement in therapy. By reconstructing discourse it is apparent that the knowledge of SLTs and parents does not always align, which influences the transfer of this knowledge, resulting in less achievement of interactional goals. When a language discordance is present, the participants have no equal access to interpretative processes in communication due to different linguistic and cultural frameworks, leading to less successful interactions and an asymmetrical relation between the participants. In successful interactions, alignment and shared decision-making are achieved through discourse by actively involving the patients and the parents, creating shared responsibility, and applying supportive communicative strategies for inclusive multilingualism.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":" ","pages":"e20240011"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016577","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