Mellblom2015
| Mellblom2015 | |
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| BibType | ARTICLE |
| Key | Mellblom2015 |
| Author(s) | Anneli V. Mellblom, Live Korsvold, Ruud Ruud, Hanne C. Lie, Jon Loge, Arnstein Finset |
| Title | Sequences of talk about emotional concerns in follow-up consultations with adolescent childhood cancer survivors |
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| Tag(s) | EMCA, Emotion, Adolescence, Medical, Cancer |
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| Year | 2015 |
| Language | English |
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| Journal | Patient Education and Counseling |
| Volume | 99 |
| Number | 1 |
| Pages | 77–84 |
| URL | Link |
| DOI | 10.1016/j.pec.2015.07.021 |
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Abstract
Objective: To explore practices regarding communication about emotional concerns in follow-up consultations with adolescent cancer survivors and pediatrician.
Method: Seven video-taped follow-up consultations with adolescent survivors which contained many examples of emotional cues and concern were analyzed according to principles of conversation analysis.
Results: During talk about emotional concerns, a task-focused asymmetric pattern of pediatrician questions and patient responses was most often upheld. In a number of cases a gradual build-up of emotional expression from a weak hint to a more explicit expression of emotional concern was observed, often facilitated by the pediatricians. Most often work-up was relatively brief, sometimes with a brief positive reappraisal, but more comprehensive elaboration was also seen. Topic shifts were often abrupt.
Conclusion: Pediatricians and patients used some of the same conventions as in everyday conversation during emotional talk in medical encounters. We observed shifts between informal talk and a typical task-focused mode. Conscious attention to such shifts and to the sequential nature of emotional talk could be helpful for doctors in designing their responses to patients' emotional concerns.
Practice implications: Our findings may contribute to insight in how clinicians respond to emotional concerns in follow-up consultations and have implications for communication skills training.
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