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Situating end-of-life decision making in a hybrid ethical frameEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(2): 131-140 Abstract Good communication in EOL (end-of-life) discussions is described at a general level in the literature, but there are few studies of EOL discussions at the level of interaction, with data drawn from the actual talk between physicians and families. In this article I present a discourse analysis of EOL discussions from an American ICU (intensive care unit) where the decision to withdraw life support is situated in a hybrid ethical frame co-constructed as the final phase of the EOL discussion. In Mishler's (1984) terms, the final phase of the EOL discussion merges the voice of me...
Source: Communication and Medicine - December 4, 2007 Category: Speech Therapy Authors: Ellen Barton Source Type: journals

Professional-patient communication in the treatment of mental illness: A reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(2): 141-152 Abstract The quality of the professional-patient relationship in the treatment of mental illness predicts patient outcome. Hence, we conducted a review of recorded professional-patient communication to identify existing research, methods, and findings. Sixteen studies focused on (i) how psychiatric symptoms are manifested in patient communication; (ii) the role of therapist communication in patient improvement; (iii) the influence of sociodemographic characteristics on doctor-patient communication; and (iv) how patients and professionals jointly construct therapeutic interactions. The...
Source: Communication and Medicine - December 4, 2007 Category: Speech Therapy Authors: Imren HassanRosemarie McCabeStefan Priebe Source Type: journals

Community as a key to healing after the death of a childEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(2): 153-163 Abstract Communication is believed to hold a central role in recreating an individual's sense of meaning and well-being after a loss. Narrative theory in particular points to ways that people create meaning and connection with others. Literature on bereavement suggests that the formation of connections with others, or building community, comprises an important part of the healing process. For this study, the content of bulletin board postings commemorating deceased children was studied quantitatively and qualitatively. Data were examined to learn how contributors used the Web site to ...
Source: Communication and Medicine - December 4, 2007 Category: Speech Therapy Authors: Sally O HastingsGeorge W MusambiraJudith D Hoover Source Type: journals

Whiteboards: Mediating professional tensions in clinical practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(2): 165-175 Abstract In this paper we argue that whiteboards in clinical settings play a hybrid role: communicating inter- and intraprofessional directives, mediating professional tensions, and mitigating potentially face-threatening acts. The data upon which this paper is based emanate from two independently conducted ethnographic studies: the first explored a range of nurse-nurse and nurse-doctor communication practices in operating rooms, while the second explored work routines and communication methods in oncology wards. Data collection included fieldwork using observations, interviews assist...
Source: Communication and Medicine - December 4, 2007 Category: Speech Therapy Authors: Robin RileyRowena ForsythElizabeth ManiasRick Iedema Source Type: journals

Negotiating frame ambiguity: A study of simulated encounters in medical educationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report an investigation of the sociolinguistic characteristics of simulated encounters (role plays) in medical education, focusing in particular on frame negotiation. The role played by context in influencing the nature of out-of-frame activity is noted through comparison with another published study of simulations (Linell and Thunqvist 2003). While in general sustaining a role-playing frame that involved an orientation to exact mimicry of clinical situations, the interactional work done to sustain this appearance of 'authenticity' at certain moments was revealed by out-of-frame utterances. One participating doctor in p...
Source: Communication and Medicine - December 4, 2007 Category: Speech Therapy Authors: Clive SealeChristopher C ButlerIan HutchbyPaul KinnersleyStephen Rollnick Source Type: journals

Lexical conflation and edible iconicity: Two sources of ambiguity in American vernacular health terminologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(2): 189-199 Abstract Examination of lexical items in naturally occurring vernacular prose shows patterns of ambiguities in how Americans discuss health issues. Samples from the Freiburg-Brown corpus of American English and varied registers of popular health writing found online reveal two principles of naming beliefs that crosscut the uses of many ambiguous terms: the semantic principle of 'lexical conflation' and the semiotic principle of 'edible iconicity'. Both are shown to reflect sources of nutritional conceptualizations. Lexical conflation is illustrated by uses of fat, cholesterol, sugar, ...
Source: Communication and Medicine - December 4, 2007 Category: Speech Therapy Authors: Laurel Smith Stvan Source Type: journals

Index of articles in Volume 4 (2007)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(2): 201-201
Source: Communication and Medicine - December 4, 2007 Category: Speech Therapy Source Type: journals

EditorialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(2): 129-130 Abstract In this issue of Communication & Medicine a number of themes across a range of sites are reported, including an overview of communication studies in the domain of mental illness, ethical decision making in end-of-life consultations, frame ambiguities in simulated primary care consultations, as well as the mediating role of whiteboards in the organisation of professional practice. Other contributions move outside the clinical/institutional sphere to explore narratives of bereavement experience and lexical formulations in popular health writing associated with nutrition. In wha...
Source: Communication and Medicine - October 26, 2007 Category: Speech Therapy Authors: Srikant Sarangi Source Type: journals

Global and local alignments in HIV/AIDS prevention trainings: A case study from Burkina FasoEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article presents a linguistic analysis of data from an ongoing research project exploring HIV/AIDS education in West African Burkina Faso. I argue that we can identify different, sometimes even competing, discourses about the disease in prevention interactions. Thus, communication about HIV/AIDS in Burkina Fasoand probably in most of the Sub-Saharan countriesmight be characterized by what I will call, with reference to Bakhtin, discursive heteroglossia. There is clear evidence of such discursive heteroglossia, that is, the participants' alignment to local and global HIV discourses, deployed in the communication of hea...
Source: Communication and Medicine - August 22, 2007 Category: Speech Therapy Authors: Martina Drescher Source Type: journals

‘Screwed for life’: Examining identification and division in addiction narrativesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, we investigate the use of narrative in online conversations among persons suffering from chronic opiate addiction and evaluate both its positive and negative uses. Illness narratives, as argued by sociologist Arthur Frank and psychiatrist/medical anthropologist Arthur Kleinman, enable patients to give order to life experiences and receive support from others. We wished to explore under what circumstances online support coalesces and breaks apart. The narratives we examined exemplify two topics frequently discussed on the message board: the recovery process and what it means to be ‘clean’. To better under...
Source: Communication and Medicine - August 22, 2007 Category: Speech Therapy Authors: Denise JodlowskiBarbara F SharfLoralee Capistrano NguyenPaul HaidetLechauncy D Woodard Source Type: journals

‘Don't get caught out’: Pragmatic and discourse features of informational and promotional texts in international healthcare insuranceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(1): 27-35 This paper examines the pragmatic and discourse features of a number of multimodal international healthcare insurance texts. The texts contain specialized language related to the provision and treatment of healthcare and to insurance coverage and are aimed at a fairly well-defined target readership, many of them actual or potential expatriates. They thus serve a useful function, that of providing the readership with an informed and comprehensible guide to the services and products available. Some of them have a more strictly promotional aspect, that of advertising specific insurance pol...
Source: Communication and Medicine - August 22, 2007 Category: Speech Therapy Authors: Martin Solly Source Type: journals

Who gets to talk? An alternative framework evaluating companion effects in geriatric triadsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(1): 37-49 Most studies evaluating companion effects on medical triadic interaction focus on the doctors' part, e.g., how the companion's presence diverts doctors' attention away from the patient. In contrast to this mainstream approach, the current research proposes an alternative framework by focusing on the patient partiesespecially on how companion participation reshapes the discourse sequences where patient parties provide information, and how it affects patient full turns and priority in providing complete first-hand information to doctors. By examining fifteen geriatric triadic conversation...
Source: Communication and Medicine - August 22, 2007 Category: Speech Therapy Authors: Mei-Hui Tsai Source Type: journals

The construction of identity in discourses of illness: An introductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(1): 51-52
Source: Communication and Medicine - August 22, 2007 Category: Speech Therapy Authors: Dana KovarskyBarbara G Bokhour Source Type: journals

The construction of identity during group therapy among adults with traumatic brain injuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(1): 53-66 This investigation examined how the interpretive practices of a speech-language pathologist (SLP) contributed to the construction of identity among adults with traumatic brain injury (TBI) during group therapy in a hospital setting. Six group therapy sessions were video-recorded and transcribed (yielding a total of 8,056 utterances). Attention was paid to patient expressions of identity and ability, the communicative functions of these expressions, and the manner in which these expressions were evaluated by the SLP. The SLP was also interviewed regarding the nature of therapy practice. ...
Source: Communication and Medicine - August 22, 2007 Category: Speech Therapy Authors: Dana KovarskyAllan ShawMaureen Adingono-Smith Source Type: journals

The fashioned survivor: Institutionalized representations of women with breast cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aims to enrich our understandings of cultural meanings of illness by making visual materials a significant part of our research.
Source: Communication and Medicine - August 22, 2007 Category: Speech Therapy Authors: Ozum Ucok Source Type: journals

Adapting to conversation as a language-impaired speaker: Changes in aphasic turn construction over timeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(1): 79-97 Using the methodology and findings of conversation analysis, we analyze changes in the talk of a man with aphasia (a language disorder acquired following brain damage) at two points in his spontaneous recovery period in the first months post-stroke. We note that in the earlier conversation (15 weeks post-stroke) two of the turn constructional methods he particularly makes use of are replacement (a form of repair) and extension. By the time of the latter conversation (30 weeks poststroke) these methods are less prevalent, while another repair operation, insertion, is now used in a partic...
Source: Communication and Medicine - August 22, 2007 Category: Speech Therapy Authors: Ray WilkinsonMorwenna GowerSuzanne BeekeJane Maxim Source Type: journals

No less a man: Reconstructing identity after prostate cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present an analysis of the interview narratives of two men and show how they ‘re-collage’ an identity in the face of fundamental changes in their functioning as men. We argue that these men draw upon alternative discourses to construct themselves as whole, competent, and ‘no less a man'.
Source: Communication and Medicine - August 22, 2007 Category: Speech Therapy Authors: Barbara G BokhourLorrie L PowelJack A Clark Source Type: journals

Commentary. Six basic principles in the communication of social identities: The special case of discourses and illnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(1): 111-115
Source: Communication and Medicine - August 22, 2007 Category: Speech Therapy Authors: Donal Carbaugh Source Type: journals

Commentary 1. ‘Quality of life to the end’Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(1): 117-118
Source: Communication and Medicine - August 22, 2007 Category: Speech Therapy Authors: Jane Seymour Source Type: journals

Commentary 2. ‘Quality of life to the end’Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(1): 119-120
Source: Communication and Medicine - August 22, 2007 Category: Speech Therapy Authors: Bernardina S Wanrooij Source Type: journals

Commentary 3. ‘Quality of life to the end’Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(1): 121-123
Source: Communication and Medicine - August 22, 2007 Category: Speech Therapy Authors: Ellen Barton Source Type: journals

Response to commentatorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(1): 125-125
Source: Communication and Medicine - August 22, 2007 Category: Speech Therapy Authors: Ilora Finlay Source Type: journals

Announcing a proposal for a COMET SOCIETYEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(1): 127-128
Source: Communication and Medicine - August 22, 2007 Category: Speech Therapy Source Type: journals

EditorialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Communication & Medicine 4(1): 1-2
Source: Communication and Medicine - May 29, 2007 Category: Speech Therapy Authors: Srikant Sarangi Source Type: journals