Cox2024

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Cox2024
BibType ARTICLE
Key Cox2024
Author(s) Keith Cox
Title When Good News Falls Flat: Complications in the Delivery and Reception of Good News in Pediatric Neurology
Editor(s)
Tag(s) EMCA, In press, Conversation analysis, News deliveries, Pediatric neurology, Physician-family communication
Publisher
Year 2024
Language English
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Month
Journal Social Psychology Quarterly
Volume
Number
Pages
URL Link
DOI 10.1177/01902725241253258
ISBN
Organization
Institution
School
Type
Edition
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Howpublished
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Abstract

This article considers interactional trouble that arises when the social distribution of knowledge and interpersonal relationships come together in the delivery and reception of good news in pediatric neurology visits for video-electroencephalography testing. Contrary to common perceptions of good news as easy to deliver and receive, I find that it is occasionally fraught with hesitancy in this context. Using conversation analysis, I explore what drives this trouble and argue that some of the difficulty associated with good news in this context arises from its structure: Physicians prioritize conveying “the facts” of the news over characterizing its valence. However, parents treat physicians’ assessments of the news as critical for the news delivery. When physicians fail to evaluate the information they present, parents tend to treat news deliveries as incomplete, which not only causes difficulties in their reception of the news but also leads to protracted news deliveries.

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