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Routinization and sensitivity: Interaction in oncological follow-up consultations
Linköping University, The Tema Institute, Department of Communications Studies. Linköping University, Faculty of Arts and Sciences.
Linköping University, The Tema Institute, Department of Communications Studies. Linköping University, Faculty of Arts and Sciences.
Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Oncology UHL. Linköping University, Faculty of Health Sciences.
Linköping University, The Tema Institute, Department of Communications Studies. Linköping University, Faculty of Arts and Sciences.
2001 (English)In: Health, ISSN 1363-4593, E-ISSN 1461-7196, Vol. 5, no 2, 139-163 p.Article in journal (Other academic) Published
Abstract [en]

The empirical data of this study were gathered in the form of audio-taped recordings of dialogues between 21 patients, who had had operations for testicular cancer and three physicians during follow-up consultations. The aim is to inquire into how routine practices affect the goals of checking up the medical conditions and providing patients with reassurance, and how practices affect the treatment of sensitive topics and the patients’ possibilities of bringing up their own problems are affected. The results show that the routines built up by the medical care programme are used as recurrent opportunities for the parties to confirm that the situation is under control and as resources when they talk about the sensitive topics of sexuality and fertility. How the routinization affected the patients’ possibilities of bringing up their own problems cannot be fully determined. Of the 50 initiatives by patients to present their problems, only nine did so solely on their own initiative.

Place, publisher, year, edition, pages
2001. Vol. 5, no 2, 139-163 p.
Keyword [en]
doctor–patient interaction, oncological, routinization, sensitivity
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-25488DOI: 10.1177/136345930100500201Local ID: 9934OAI: oai:DiVA.org:liu-25488DiVA: diva2:245818
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2017-12-13Bibliographically approved
In thesis
1. Att drabbas av testikelcancer: En studie av män med behandlad testikelcancer och deras anhöriga
Open this publication in new window or tab >>Att drabbas av testikelcancer: En studie av män med behandlad testikelcancer och deras anhöriga
2000 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[en]
Contracting Testicular Cancer : A Study of Men with Medically Treated Testicular Cancer and Their Close Relatives
Abstract [en]

The aim of the thesis is to describe and analyse men's experience of testicular cancer, the interaction with caregivers during the course of the disease and in the subsequent medical care process and the attitude of close relatives during this period and how they describe their life during the medical care process.

The results reported in article I describe, on the basis of audio-taped dialogues between patients and physicians and interviews between patients and physicians, the impact the medical care program SWENOTECA has on the interaction between patient and physician and on how the patients experience their disease and the follow-up of care and treatment. As a result of the medical care program SWENOTECA, oncological care and treatment is framed in a structured care context which gives the patients a perspective of the future and very much influences their sense of safety and security. Article II describes how, in interviews, men reconstructed their discovery of a testicular tumour, how they express their thoughts about and attitudes towards cancer. The men have a functionally oriented approach to their body, which means that the ability to work and carry out their day-to-day duties is a more important sign that they are not ill than are individual physical changes in an organ. In article III, the audio-taped dialogues between patients and physicians have been analysed in order to determine how routinization in the dialogue affects the patient's ability to talk about sensitive subjects and bring up questions and problems on his own initiative. A consequence of the routinised medical care context is that follow-up consultations between patients and physicians focus on restoring trust in the value of the check-ups and the prospects of the disease being cured. In article IV, interviews with close relatives of men treated for testicular cancer are analysed. In these interviews, the parties discussed how cancer affected family life and daily routines as well as how relationships and closeness developed and what the future held. Testicular cancer is something that very much affects the men's close relatives. They do not regard themselves, or are regarded by others, as people with needs of their own and the sorrow and fear they feel results in social isolation during the period of the disease.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2000. 128 p.
Series
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 217
Keyword
men, close relatives, testicular cancer, medical care program, oncological follow-up consultations, routinization, sensitivity, everyday life, Testikelcancer, Andrologi, Tumörer, Onkologi, Cancer
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-35329 (URN)26313 (Local ID)91-7219-835-4 (ISBN)26313 (Archive number)26313 (OAI)
Public defence
2000-10-06, Sal Elysion, Hus-T, Universitetsområdet Valla, Linköping, 13:15 (Swedish)
Supervisors
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2014-08-27Bibliographically approved

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Sandén, IngerLinell, PerStarkhammar, Hans

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