Communication and Medicine最新文献_第2页

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

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

Communication and Medicine Pub Date : 2024-07-12 DOI: 10.1558/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":"10.1558/cam.25959","DOIUrl":"https://doi.org/10.1558/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":"82 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141655728","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 skills, expertise and ethics in healthcare education and practice 医疗保健教育和实践中的沟通技巧、专业知识和道德规范

Communication and Medicine Pub Date : 2024-05-01 DOI: 10.1558/cam.24729

Srikant Sarangi, Maria Grazia Rossi

引用次数: 1

Interactional functions of laughter in assisted reproductive medicine consultations.

Communication and Medicine Pub Date : 2024-05-01 DOI: 10.1558/cam.25300

Sarah Bigi, Amanda Tedone, Elena Vegni

{"title":"Interactional functions of laughter in assisted reproductive medicine consultations.","authors":"Sarah Bigi, Amanda Tedone, Elena Vegni","doi":"10.1558/cam.25300","DOIUrl":"https://doi.org/10.1558/cam.25300","url":null,"abstract":"Doctor -couple interactions in the context of assisted reproductive medicine frequently include occurrences of laughter, especially patient-initiated. These have been examined in previous studies from a quantitative perspective and in relation to specific topics, but not as regards the functions that laughter realises throughout the interactions. Our study aims to address this underinvestigated issue by providing an analysis of a small sample of consultations (n = 10) about assisted reproductive technology (ART) treatments. The analysis is set within a discourse-interactional perspective on clinical interactions, which focuses on consultations as advice-seeking activities in which advice-giving is the main discourse type. The consultations have been analysed through structural mapping, which has revealed five main phases: opening, information sharing, problem identification, discussion of the options and closing. Laughter tokens have been identified and their functions are described from the point of view of an incongruity-based framework. The interactional functions of laughter described in this framework, e.g., 'marking incongruity', 'softening trouble-telling', 'showing sympathy', 'marking irony' etc., have then been mapped onto the different phases of the consultations, yielding a fine-grained description of when laughter occurs and what participants are using it for. Our study expands on previous analyses of laughter in ART consultations, offering a novel methodological approach that could be applied to larger corpora.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"19 2","pages":"99-111"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366136","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