In the 1960s, feminists voiced their outrage about the health care system in the United States which routinely discriminated against women and, in so doing, literally jeopardized their health and well-being. Over a decade later, women's health advocates still stressed the need for reform of this male-dominated institution because of the on-going threat to the health of American women. In the 1990s, nearly 40 years after women began their fight for quality and equitable treatment from the medical profession, women unfortunately continue to confront problems on numerous levels including discrimination in medical research and in the availability of insurance and health care providers. Most alarming, however, is the fact that women today--like women in the '60s and before--lack information, understanding, and adequate diagnoses and treatment from their health caregivers. This book extends from a program of research on women's health issues by the authors. More than 150 audio-taped, naturally occurring interactions between health caregivers and their female patients from three different health care settings--as well as ethnographic field notes in three additional settings which provide health care to women-- constitute the data for this investigation. They explore the consequentiality of relational issues during women's health care encounters and examine how health care participants save face, enact roles, co-construct their encounters, and accomplish the objective of education and medical care. Unlike earlier works, this study utilizes an extensive data collection derived directly from hundreds of interactions between health care providers and their patients, as opposed to surveys or case studies of singular practitioners. The authors examine the data in light of insights from a variety of theoretical perspectives and are committed to exploring the implication that medical encounters are collaboratively managed by both patients and caregivers. Given these theoretical and empirical contributions, the authors believe this book will advance present understanding in the areas of health and relational communication, women's health care, gender issues in communication, conversation analysis, discourse processes, and institutional talk.
Alice is happy living in Soho with her artist stepfather Todd, her laughing mother, and her little sister Daria. But the fairy tale falls apart when Todd moves his family to his ancestor's Georgian estate--Broderick mansion--the scene of ancient secrets and dark forces converging to eliminate all signs of life.
Celebrates the aesthetic styles of straw bale dwellings with numerous color photographs, including both small and large homes and larger-scale institutional buildings. Includes an introductory essay by the authors noting the key lessons they have learned in years of building with bales.
For over three decades, this has been the bestselling text for the human communication course. Understanding Human Communication is written with one goal in mind: to provide students with the insights and skills to succeed in our changing world. This new edition includes important updates on evolving topics like culture, gender, and technology and features an updated design and the most robust and innovative support package yet.
In the 1960s, feminists voiced their outrage about the health care system in the United States which routinely discriminated against women and, in so doing, literally jeopardized their health and well-being. Over a decade later, women's health advocates still stressed the need for reform of this male-dominated institution because of the on-going threat to the health of American women. In the 1990s, nearly 40 years after women began their fight for quality and equitable treatment from the medical profession, women unfortunately continue to confront problems on numerous levels including discrimination in medical research and in the availability of insurance and health care providers. Most alarming, however, is the fact that women today--like women in the '60s and before--lack information, understanding, and adequate diagnoses and treatment from their health caregivers. This book extends from a program of research on women's health issues by the authors. More than 150 audio-taped, naturally occurring interactions between health caregivers and their female patients from three different health care settings--as well as ethnographic field notes in three additional settings which provide health care to women-- constitute the data for this investigation. They explore the consequentiality of relational issues during women's health care encounters and examine how health care participants save face, enact roles, co-construct their encounters, and accomplish the objective of education and medical care. Unlike earlier works, this study utilizes an extensive data collection derived directly from hundreds of interactions between health care providers and their patients, as opposed to surveys or case studies of singular practitioners. The authors examine the data in light of insights from a variety of theoretical perspectives and are committed to exploring the implication that medical encounters are collaboratively managed by both patients and caregivers. Given these theoretical and empirical contributions, the authors believe this book will advance present understanding in the areas of health and relational communication, women's health care, gender issues in communication, conversation analysis, discourse processes, and institutional talk.
Offering a social scientific look at humor's role in medical transactions, this volume is based on extensive field study in seven medical settings. It includes excerpts from dozens of actual conversations between patients and caregivers. Analysis of these episodes reveals that humor is a practical tool used to meet many medical objectives. It is used by patients to good-naturedly complain and to campaign for more personal attention, and by caregivers to get attention, make amends, insist on unpleasant routines, and establish rapport. Examining humor from many angles, the book begins with a phenomenological analysis of the essence of funny. This section describes what makes some things funny but not others, and how to distinguish between potentially funny and unfunny episodes in medical situations. From an ethnographic perspective, joking around is shown to be a persuasive element of medical culture. Examples illustrate how patients and caregivers use humor to negotiate the dialectics between helping and hurting, and individuality and compliance. Additionally, a close-up look at three medical transactions shows how humor is used to help a physical therapy patient overcome fear and queasiness, reduce the embarrassment of a mammography, and defuse a potential conflict between a student aide and a young patient. A final section examines techniques for initiating conversational humor. In sum, this volume provides an intimate and realistic look at medical conversations as they are conducted every day. It serves as a valuable complement to health communication texts and offers information of interest to health communication scholars, healthcare practitioners, and anyone interested in the effects and techniques of conversational humor. Richly grounded in naturally occurring data, the book can be understood and used effectively by both scholars and practitioners.
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