Show simple item record

dc.contributor.authorLian, Olaug S
dc.contributor.authorRobson, Catherine
dc.date.accessioned2018-12-03T09:33:22Z
dc.date.available2018-12-03T09:33:22Z
dc.date.issued2018-11-27
dc.description.abstractIn territories of medical uncertainty, clinical encounters are highly contentious. To uncover maintaining mechanisms behind persistent conflicts, we explore the interactional dynamics of clinical encounters fused with medical uncertainty. Based on a thematic qualitative analysis of experiential texts from 385 people living with medically unexplained physical symptoms in Norway, UK, Ireland, USA and Canada, we explore patients main expectations, how these expectations are met, and how their expectations and experiences are socially constructed and structurally conditioned. Five fundamental expectations are identified: Health professionals ought to (1) acknowledge the lack of medical knowledge, and be frank, open and curious about it; (2) believe patient experiences and accept their condition as "real"; (3) avoid blaming patients for their ailment; (4) demonstrate compassion, understanding and respect, and (5) share decision-making power with patients. Our participants experience unfulfilled expectations in all five areas. Both experiences and unfulfilled expectations are influenced by structural factors transpiring from the modern Western biomedical paradigm, and from cultural norms and values of its surrounding society. Structural and cultural forces obstruct team-oriented collaboration based on congruent understandings, mutual trust and reciprocated respect. Without contextualisation, the interactional dynamics between patients and health professionals in clinical consultations cannot be exposed.en_US
dc.descriptionSource at: <a href=http://doi.org/10.1057/s41285-018-00082-w> http://doi.org/10.1057/s41285-018-00082-w</a>en_US
dc.identifier.citationLian, O. S & Robson, C. (2018). Socially constructed and structurally conditioned conflicts in territories of medical uncertainty. Social Theory & Health. http://doi.org/10.1057/s41285-018-00082-wen_US
dc.identifier.cristinIDFRIDAID 1629376
dc.identifier.doi10.1057/s41285-018-00082-w
dc.identifier.issn1477-8211
dc.identifier.issn1477-822X
dc.identifier.urihttps://hdl.handle.net/10037/14268
dc.language.isoengen_US
dc.publisherSpringeren_US
dc.relation.journalSocial Theory & Health
dc.relation.projectIDinfo:eu-repo/grantAgreement/RCN/HELSEVEL/212987/Norway/Quality, accessibility and coordination of health care in Norway for people with chronic illnesses - seen from the users point of view//en_US
dc.relation.projectIDinfo:eu-repo/grantAgreement/RCN/TJENESTER/212987/Norway/Quality, accessibility and coordination of health care in Norway for people with chronic illnesses - seen from the users point of view//en_US
dc.relation.urihttps://link.springer.com/content/pdf/10.1057%2Fs41285-018-00082-w.pdf
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.title.alternativeSocially constructed and structurally conditioned conflicts in territories of medical uncertaintyen_US
dc.titleSocially constructed and structurally conditioned conflicts in territories of medical uncertaintyen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record