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Titre :
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Sequences of talk about emotional concerns in follow-up consultations with adolescent childhood cancer survivors (2016)
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Auteurs :
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MELLBLOM A.V.
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Type de document :
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Article : texte imprimé
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Dans :
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Patient Education and Counseling (Vol. 99 n° 1, janvier 2016)
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Article en page(s) :
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pp.77–84
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Note générale :
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biblio.
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Langues:
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Anglais
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Catégories :
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CANCER
ONCOLOGIE
EMOTION
COMMUNICATION
CONSULTATION MEDICALE
PEDIATRIE
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Mots-clés:
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CANCER
;
ONCOLOGIE
;
EMOTION
;
COMMUNICATION
;
CONSULTATION MEDICALE
;
PEDIATRIE
;
RELATION SOIGNANT-SOIGNE
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Résumé :
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Objective To explore practices regarding communication about emotional concerns in follow-up consultations with adolescent cancer survivors and pediatrician. Method Seven video-taped follow-up consultations with adolescent survivors which contained many examples of emotional cues and concern were analyzed according to principles of conversation analysis. Results During talk about emotional concerns, a task-focused asymmetric pattern of pediatrician questions and patient responses was most often upheld. In a number of cases a gradual build-up of emotional expression from a weak hint to a more explicit expression of emotional concern was observed, often facilitated by the pediatricians. Most often work-up was relatively brief, sometimes with a brief positive reappraisal, but more comprehensive elaboration was also seen. Topic shifts were often abrupt. Conclusion Pediatricians and patients used some of the same conventions as in everyday conversation during emotional talk in medical encounters. We observed shifts between informal talk and a typical task-focused mode. Conscious attention to such shifts and to the sequential nature of emotional talk could be helpful for doctors in designing their responses to patients’ emotional concerns. Practice implications Our findings may contribute to insight in how clinicians respond to emotional concerns in follow-up consultations and have implications for communication skills training.
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Note de contenu :
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SCIENTIFIQUE
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