Difference between revisions of "Stivers-Timmermans2016"
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|BibType=ARTICLE | |BibType=ARTICLE | ||
|Author(s)=Tanya Stivers; Stefan Timmermans | |Author(s)=Tanya Stivers; Stefan Timmermans | ||
− | |Title=Negotiating the | + | |Title=Negotiating the diagnostic uncertainty of genomic test results |
− | |Tag(s)=EMCA; Medical; Doctor-patient interaction; Genetic counseling; Counseling; | + | |Tag(s)=EMCA; Medical; Doctor-patient interaction; Genetic counseling; Counseling; Medical EMCA |
|Key=Stivers-Timmermans2016 | |Key=Stivers-Timmermans2016 | ||
|Year=2016 | |Year=2016 | ||
+ | |Language=English | ||
|Journal=Social Psychology Quarterly | |Journal=Social Psychology Quarterly | ||
|Volume=79 | |Volume=79 | ||
|Number=3 | |Number=3 | ||
− | |Pages= | + | |Pages=199–221 |
− | |URL= | + | |URL=https://journals.sagepub.com/doi/abs/10.1177/0190272516658770 |
|DOI=10.1177/0190272516658770 | |DOI=10.1177/0190272516658770 | ||
|Abstract=Clinicians order next-generation genomic testing to address diagnostic uncertainty about the cause of a patient’s symptoms. Based on video-recorded observations, we examine geneticists as they return exome sequencing results to families. We find that in consultations, clinical geneticists’ interpretations of genomic findings frequently go beyond the laboratory report. The news delivery offers parents insight into the basis of clinicians’ judgment but also invites parents’ involvement in the determination of genetic causality. Through this process, clinicians and parents collaborate to define the boundaries of uncertainty. We show that through collectively managing the causal ambiguities of genomic findings, clinicians and parents enact a care relationship that works to assuage underlying feelings of diagnostic uncertainty. | |Abstract=Clinicians order next-generation genomic testing to address diagnostic uncertainty about the cause of a patient’s symptoms. Based on video-recorded observations, we examine geneticists as they return exome sequencing results to families. We find that in consultations, clinical geneticists’ interpretations of genomic findings frequently go beyond the laboratory report. The news delivery offers parents insight into the basis of clinicians’ judgment but also invites parents’ involvement in the determination of genetic causality. Through this process, clinicians and parents collaborate to define the boundaries of uncertainty. We show that through collectively managing the causal ambiguities of genomic findings, clinicians and parents enact a care relationship that works to assuage underlying feelings of diagnostic uncertainty. | ||
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Latest revision as of 11:23, 22 December 2019
Stivers-Timmermans2016 | |
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BibType | ARTICLE |
Key | Stivers-Timmermans2016 |
Author(s) | Tanya Stivers, Stefan Timmermans |
Title | Negotiating the diagnostic uncertainty of genomic test results |
Editor(s) | |
Tag(s) | EMCA, Medical, Doctor-patient interaction, Genetic counseling, Counseling, Medical EMCA |
Publisher | |
Year | 2016 |
Language | English |
City | |
Month | |
Journal | Social Psychology Quarterly |
Volume | 79 |
Number | 3 |
Pages | 199–221 |
URL | Link |
DOI | 10.1177/0190272516658770 |
ISBN | |
Organization | |
Institution | |
School | |
Type | |
Edition | |
Series | |
Howpublished | |
Book title | |
Chapter |
Abstract
Clinicians order next-generation genomic testing to address diagnostic uncertainty about the cause of a patient’s symptoms. Based on video-recorded observations, we examine geneticists as they return exome sequencing results to families. We find that in consultations, clinical geneticists’ interpretations of genomic findings frequently go beyond the laboratory report. The news delivery offers parents insight into the basis of clinicians’ judgment but also invites parents’ involvement in the determination of genetic causality. Through this process, clinicians and parents collaborate to define the boundaries of uncertainty. We show that through collectively managing the causal ambiguities of genomic findings, clinicians and parents enact a care relationship that works to assuage underlying feelings of diagnostic uncertainty.
Notes