A room of one’s own : Moments of mutual disengagement between doctor and patient in the oncology visit
(2020) In Patient Education and Counseling 104(5). p.1116-1124- Abstract
- Objective
This paper examines a previously neglected phenomenon in doctor-patient interaction studies, i.e. the achievement of mutual disengagement—a specific state of coordination, in which participants suspend reciprocal gaze and turn into separate axes of involvement. In the specialized setting of the oncology visit, which we consider in this study, mutual disengagement is linked to important tasks that the oncologist has to carry out, notably the scrutiny of the histological exam during the diagnostic assessment phase.
Methods
Our data corpus includes 56 video-recorded oncology visits. We employ conversation analysis to discern how mutual disengagement is achieved, sustained and ended.
Results
Our analysis... (More) - Objective
This paper examines a previously neglected phenomenon in doctor-patient interaction studies, i.e. the achievement of mutual disengagement—a specific state of coordination, in which participants suspend reciprocal gaze and turn into separate axes of involvement. In the specialized setting of the oncology visit, which we consider in this study, mutual disengagement is linked to important tasks that the oncologist has to carry out, notably the scrutiny of the histological exam during the diagnostic assessment phase.
Methods
Our data corpus includes 56 video-recorded oncology visits. We employ conversation analysis to discern how mutual disengagement is achieved, sustained and ended.
Results
Our analysis shows that suspension of mutual engagement is a joint accomplishment that requires intersubjective cooperation. It also reveals that when talk and reciprocal engagement are suspended, intersubjective alignment is more vulnerable to breakdown.
Conclusion
Our findings eschew a characterization of the oncologist as solo arbiter of the interactional exchange. An alignment with the patient is key to the felicitous accomplishment of the visit. We also suggest that a successful medical encounter is not only characterized by harmonious verbal communication, between doctor and patient, but also by felicitous pauses in their joint engagement.
Practice implications
In building a room of one’s own, the oncologist has the responsibility to co-construct with the patient an experience of interactional attunement and mutual understanding. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/f51bab6e-8481-4f68-a089-24fd5ff59230
- author
- Sterponi, Laura ; Zucchermaglio, Cristina ; Fantasia, Valentina LU ; Fatigante,, Marilena and Alby, Francesca
- publishing date
- 2020
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Doctor-patient interaction, Oncology, Conversation analysis, Mutual disengagement, Italy
- in
- Patient Education and Counseling
- volume
- 104
- issue
- 5
- pages
- 9 pages
- publisher
- Elsevier
- external identifiers
-
- scopus:85095818092
- ISSN
- 0738-3991
- DOI
- 10.1016/j.pec.2020.10.024
- language
- English
- LU publication?
- no
- id
- f51bab6e-8481-4f68-a089-24fd5ff59230
- date added to LUP
- 2022-03-10 21:54:21
- date last changed
- 2022-04-29 02:12:33
@article{f51bab6e-8481-4f68-a089-24fd5ff59230,
abstract = {{Objective<br/>This paper examines a previously neglected phenomenon in doctor-patient interaction studies, i.e. the achievement of mutual disengagement—a specific state of coordination, in which participants suspend reciprocal gaze and turn into separate axes of involvement. In the specialized setting of the oncology visit, which we consider in this study, mutual disengagement is linked to important tasks that the oncologist has to carry out, notably the scrutiny of the histological exam during the diagnostic assessment phase.<br/><br/>Methods<br/>Our data corpus includes 56 video-recorded oncology visits. We employ conversation analysis to discern how mutual disengagement is achieved, sustained and ended.<br/><br/>Results<br/>Our analysis shows that suspension of mutual engagement is a joint accomplishment that requires intersubjective cooperation. It also reveals that when talk and reciprocal engagement are suspended, intersubjective alignment is more vulnerable to breakdown.<br/><br/>Conclusion<br/>Our findings eschew a characterization of the oncologist as solo arbiter of the interactional exchange. An alignment with the patient is key to the felicitous accomplishment of the visit. We also suggest that a successful medical encounter is not only characterized by harmonious verbal communication, between doctor and patient, but also by felicitous pauses in their joint engagement.<br/><br/>Practice implications<br/>In building a room of one’s own, the oncologist has the responsibility to co-construct with the patient an experience of interactional attunement and mutual understanding.}},
author = {{Sterponi, Laura and Zucchermaglio, Cristina and Fantasia, Valentina and Fatigante,, Marilena and Alby, Francesca}},
issn = {{0738-3991}},
keywords = {{Doctor-patient interaction; Oncology; Conversation analysis; Mutual disengagement; Italy}},
language = {{eng}},
number = {{5}},
pages = {{1116--1124}},
publisher = {{Elsevier}},
series = {{Patient Education and Counseling}},
title = {{A room of one’s own : Moments of mutual disengagement between doctor and patient in the oncology visit}},
url = {{http://dx.doi.org/10.1016/j.pec.2020.10.024}},
doi = {{10.1016/j.pec.2020.10.024}},
volume = {{104}},
year = {{2020}},
}