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Managing “Stable” Cancer News
Social Psychology Quarterly ( IF 2.163 ) Pub Date : 2020-12-31 , DOI: 10.1177/0190272520976133
Wayne A. Beach 1, 2
Affiliation  

This study focuses on oncology interviews with returning patients who have been diagnosed with cancer, are undergoing various treatment regimens, and have been informed by doctors of their current “stable” medical condition. Conversation analysis was conducted on 112 video recorded and transcribed oncology interviews involving 30 doctors. In 44 of 112 (39 percent) interviews, doctors announced stable as good cancer news. In response, patients rarely affirm stable as good news for them. Nonreponses and minimal responses lacking enthusiasm occurred in one third of instances, and in the majority of interactions, patients resisted and questioned impacts of the need to endure ongoing treatments yet reduced possibilities for cancer shrinkage or remission. These interactional disjunctures reflect epistemic dilemmas for doctors seeking to provide quality care and especially for patients who must simultaneously manage good and bad news. Findings extend ongoing research and theoretical development that address the social psychological burdens inherent in disappointment, medical diagnosis, and prognosis. A focus on how patients and doctors manage stable cancer reveals recurring tensions between patients’ lay experiences with illness and how doctors give biomedical priority to controlling cancer.



中文翻译:

管理“稳定”的癌症新闻

这项研究的重点是对已被诊断患有癌症,正在接受各种治疗方案并已获医生告知其当前“稳定”医疗状况的回国患者的肿瘤学访谈。对话分析是对112部视频录像和转录的肿瘤学访谈进行的,涉及30位医生。在112项访问中的44项(占39%)中,医生宣布癌症稳定是好消息。作为回应,患者很少将稳定视为对他们的好消息。在缺乏回应的情况下,缺乏热情的人很少做出反应,在大多数互动中,患者抵制和质疑需要忍受正在进行的治疗的影响,但减少了癌症缩小或缓解的可能性。这些相互作用的脱节反映了寻求提供优质医疗服务的医生,尤其是必须同时管理好消息和坏消息的患者的认知困境。研究结果扩展了正在进行的研究和理论发展,解决了失望,医学诊断和预后方面固有的社会心理负担。对患者和医生如何治疗稳定癌症的关注揭示了患者在疾病的外行经历与医生如何将生物医学优先考虑控制癌症之间反复出现的紧张关系。

更新日期:2021-01-04
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