This paper contributes to the debate on the patient–doctor relationship by focussing on a specific chronic disease: type 1 diabetes. This field is characterised by an increasing use of technology, specifically therapeutic devices and a significant requirement of patient self-management. This paper presents the main findings of research conducted in Italy in 2018. It is argued that this relationship is more properly described as an interdependent figuration of actors characterised by a dynamic process of power balances, which recalls Elias' (What is sociology? Columbia University Press, 1978) figurational-processual and relational sociology. In this theoretical context, patients may manage their (dis)satisfaction with their diabetologists by choosing different behaviours that stem from Hirschman's archetype (Exit, voice, and loyalty. Responses to decline firms, organizations, and states. Harvard University Press, 1970): voice, exit, loyalty and, we would add, resignation. These categories are fluid, and all of them can be experienced by patients over time, depending on the quality of the figurations built among these transactors.

中文翻译：

---

从忠诚到辞职：1 型糖尿病患者-医生的形象

本文通过关注特定的慢性疾病：1 型糖尿病，为关于医患关系的辩论做出了贡献。该领域的特点是越来越多地使用技术，特别是治疗设备和对患者自我管理的重要要求。本文介绍了 2018 年在意大利进行的研究的主要发现。 有人认为，这种关系更恰当地描述为以权力平衡动态过程为特征的行为者的相互依存形象，这让人想起埃利亚斯的（什么是社会学？哥伦比亚大学出版社，1978 年）具象过程和关系社会学。在这种理论背景下，患者可以通过选择源于 Hirschman 原型（退出、声音和忠诚度）的不同行为来管理他们对糖尿病专家的（不）满意。对衰落的公司、组织和国家的反应。哈佛大学出版社，1970 年）：声音、退出、忠诚以及我们要补充的辞职。这些类别是可变的，随着时间的推移，患者可以体验所有这些类别，具体取决于这些交易者之间建立的形象的质量。