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Laughter as medical providers' resource : negotiating informed choice in prenatal genetic counseling

机译:笑声作为医疗提供者的资源:在产前遗传咨询中就知情选择进行谈判

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摘要

This article aims to challenge the perception that in medical encounters laughter is an interactional resource primarily employed by patients. Drawing on 34 video-recorded prenatal genetic counseling (PGC) sessions collected in a Hong Kong hospital, and combining quantitative and qualitative methods, we illustrate that laughter is in fact frequently employed by the medical providers in our data. The particular focus of the article is on the ways in which laughter initiated by the medical providers assists interlocutors in negotiating informed choice, a crucial aspect of PGC sessions. Findings indicate that laughter initiated by the medical providers performs at least two PGC-specific functions: It assists the medical providers in olaughing offo and overcoming patients' resistance, and it helps them in dealing with patients' direct questions. Laughter is thus an important resource for the medical providers in pursuing the institutional goals of the interaction, namely negotiating informed choice with their patients.
机译:本文旨在挑战在医学遭遇中笑是一种主要由患者使用的互动资源的观念。根据在香港一家医院中收集的34个视频的产前遗传咨询(PGC)会议记录,并结合了定量和定性方法,我们说明,在我们的数据中,医疗提供者实际上经常使用笑声。本文的特别重点是医疗提供者引发的笑声如何帮助对话者协商知情选择,这是PGC会议的重要方面。研究结果表明,由医疗提供者发起的笑声至少执行了两项PGC特定功能:它帮助医疗提供者嘲笑和克服患者的抵抗力,并帮助他们处理患者的直接问题。因此,笑声是医疗提供者追求互动的制度目标(即与患者协商知情选择)的重要资源。

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  • 年度 2011
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  • 原文格式 PDF
  • 正文语种 {"code":"en","name":"English","id":9}
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