1887
Volume 7, Issue 2
  • ISSN 2211-4742
  • E-ISSN: 2211-4750
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Abstract

Abstract

Recent research on medical communication discusses the role of argumentation in building physician-patient consensus to enhance shared decision-making. This paper focuses on the potential of using argumentation to establish the preliminary step of shared understanding of the diagnosis. This understanding is important in helping patients accept the disease and in increasing their involvement in care. We conducted an in-depth analysis of an observation of a medical encounter, triangulated with interviews with all participants, to illustrate how the lack of clear information and argumentation concerning the disease hindered the patient’s understanding and acceptance of it. This in turn led to difficulties in building a trusting relationship and in reaching treatment decisions. We discuss how using argumentation focused on the disease can allow a fruitful patient-centered discussion about the medical condition and treatment options.

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2018-10-12
2024-12-02
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References

  1. Charles, Cathy , Amiram Gafni , and Tim Whelan
    1997 “Shared Decision-Making in the Medical Encounter: What Does It Mean? (or It Takes at Least Two to Tango).” Social Science and Medicine44 (5):681–92. 10.1016/S0277‑9536(96)00221‑3
    https://doi.org/10.1016/S0277-9536(96)00221-3 [Google Scholar]
  2. Van Eemeren, Frans H.
    2010Strategic Maneuvering in Argumentative Discourse: Extending the Pragma-Dialectical Theory of Argumentation. Amsterdam: John Benjamins Publishing. 10.1075/aic.2
    https://doi.org/10.1075/aic.2 [Google Scholar]
  3. Van Eemeren, Frans H. and Rob Grootendorst
    1984Speech Acts in Argumentative Discussions: A Theoretical Model for the Analysis of Discussions Directed towards Solving Conflicts of Opinion. Dordrecht: Walter de Gruyter. 10.1515/9783110846089
    https://doi.org/10.1515/9783110846089 [Google Scholar]
  4. 2004A Systematic Theory of Argumentation: The Pragma-Dialectical Approach. Cambridge: Cambridge University Press.
    [Google Scholar]
  5. Van Eemeren, Frans H. and A. Francisca Snoeck Henkemans
    2016Argumentation: Analysis and Evaluation. Taylor & Francis. 10.4324/9781315401140
    https://doi.org/10.4324/9781315401140 [Google Scholar]
  6. Elwyn, Glyn et al.
    2014 “Collaborative Deliberation: A Model for Patient Care.” Patient Education and Counseling97 (2):158–64. 10.1016/j.pec.2014.07.027
    https://doi.org/10.1016/j.pec.2014.07.027 [Google Scholar]
  7. Epstein, Ronald M. and Richard L. Street
    2011 “Shared Mind: Communication, Decision Making, and Autonomy in Serious Illness.” The Annals of Family Medicine9 (5):454–61. 10.1370/afm.1301
    https://doi.org/10.1370/afm.1301 [Google Scholar]
  8. Karnieli-Miller, Orit
    2006 “The Experiencing of Breaking and Receiving Bad News on Chronic Illness during Adolescence: An Insider’s Perspective of Adolescents, Parents and Physicians.” (doctoral dissertation) University of Haifa, Haifa, Israel. (In Hebrew).
  9. Karnieli-Miller, Orit and Zvi Eisikovits
    2009 “Physician as Partner or Salesman? Shared Decision-Making in Real-Time Encounters.” Social Science and Medicine69 (1):1–8. 10.1016/j.socscimed.2009.04.030
    https://doi.org/10.1016/j.socscimed.2009.04.030 [Google Scholar]
  10. Karnieli-Miller, Orit , Perla Werner , Judith Aharon-Peretz , and Shmuel Eidelman
    2007 “Dilemmas in the (un)veiling of the Diagnosis of Alzheimer’s Disease: Walking an Ethical and Professional Tight Rope.” Patient Education and Counseling67 (3):307–14. 10.1016/j.pec.2007.03.014
    https://doi.org/10.1016/j.pec.2007.03.014 [Google Scholar]
  11. Karnieli-Miller, Orit , Perla Werner , Galit Neufeld-Kroszynski , and Shmuel Eidelman
    2012 “Are You Talking to Me?! An Exploration of the Triadic Physician-Patient-Companion Communication within Memory Clinics Encounters.” Patient Education and Counseling88 (3):381–90. 10.1016/j.pec.2012.06.014
    https://doi.org/10.1016/j.pec.2012.06.014 [Google Scholar]
  12. Labrie, Nanon H. M. and Peter J. Schulz
    2015 “Exploring the Relationships between Participatory Decision-Making, Visit Duration, and General Practitioners’ Provision of Argumentation to Support Their Medical Advice: Results from a Content Analysis.” Patient Education and Counseling98 (5):572–77. 10.1016/j.pec.2015.01.017
    https://doi.org/10.1016/j.pec.2015.01.017 [Google Scholar]
  13. Labrie, Nanon and Peter J. Schulz
    2014 “Does Argumentation Matter? A Systematic Literature Review on the Role of Argumentation in Doctor–Patient Communication.” Health Communication29 (10):996–1008. 10.1080/10410236.2013.829018
    https://doi.org/10.1080/10410236.2013.829018 [Google Scholar]
  14. Leplege, Alain et al.
    2007 “Person-Centredness: Conceptual and Historical Perspectives.” Disability and Rehabilitation29 (20–21):1555–65. 10.1080/09638280701618661
    https://doi.org/10.1080/09638280701618661 [Google Scholar]
  15. Mead, Nicola and Peter Bower
    2000 “Patient-Centredness: A Conceptual Framework and Review of the Empirical Literature.” Social Science and Medicine51 (7):1087–1110. 10.1016/S0277‑9536(00)00098‑8
    https://doi.org/10.1016/S0277-9536(00)00098-8 [Google Scholar]
  16. Meitar, Dafna , Orit Karnieli-Miller , and Shmuel Eidelman
    2009 “The Impact of Senior Medical Students’ Personal Difficulties on Their Communication Patterns in Breaking Bad News.” Academic Medicine84 (11):1582–94. 10.1097/ACM.0b013e3181bb2b94
    https://doi.org/10.1097/ACM.0b013e3181bb2b94 [Google Scholar]
  17. Moustakas, Clark
    1994Phenomenological Research Methods. Thousand Oaks, CA: Sage. 10.4135/9781412995658
    https://doi.org/10.4135/9781412995658 [Google Scholar]
  18. Rivera, Francisco Javier Uribe and Elizabeth Artmann
    2015 “Argumentação E Comunicação Médico-Paciente: Comparando Os Enfoques Da Pragma-Dialética de Toulmin E a Sociolinguística Americana.” Cadernos de Saúde Pública31 (12):2577–87. 10.1590/0102‑311X00150914
    https://doi.org/10.1590/0102-311X00150914 [Google Scholar]
  19. Rubinelli, Sara
    2013 “Rational versus Unreasonable Persuasion in Doctor–patient Communication : A Normative Account.” Patient Education and Counseling92 (3):296–301. 10.1016/j.pec.2013.06.005
    https://doi.org/10.1016/j.pec.2013.06.005 [Google Scholar]
  20. Rubinelli, Sara and Peter J. Schulz
    2006 “‘Let Me Tell You Why!’. When Argumentation in Doctor–Patient Interaction Makes a Difference.” Argumentation20 (3):353–75. 10.1007/s10503‑006‑9014‑y
    https://doi.org/10.1007/s10503-006-9014-y [Google Scholar]
  21. Rubinelli, Sara and Claudia Zanini
    2012 “Teaching Argumentation Theory to Doctors: Why and What.” Journal of Argumentation in Context1 (1):66–80. 10.1075/jaic.1.1.06rub
    https://doi.org/10.1075/jaic.1.1.06rub [Google Scholar]
  22. Salmon, Peter
    2015 “Argumentation and Persuasion in Patient-Centred Communication.” Patient Education and Counseling, 98 (5):543–44. 10.1016/j.pec.2015.03.010
    https://doi.org/10.1016/j.pec.2015.03.010 [Google Scholar]
  23. Schulz, Peter J. and Sara Rubinelli
    2006 “Healthy Arguments for Literacy in Health.” Paper presented atthe AAAI Spring Symposium on Argumentation for Consumers of Healthcare, Palo Alto, CA, March 2006.
    [Google Scholar]
  24. Seawright, Jason and John Gerring
    2008 “Case Selection Techniques in Case Study Research: A Menu of Qualitative and Quantitative Options.” Political Research Quarterly61 (2):294–308. 10.1177/1065912907313077
    https://doi.org/10.1177/1065912907313077 [Google Scholar]
  25. Strauss, Anselm and Juliet Corbin
    1990Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Newbury Park, CA: Sage.
    [Google Scholar]
  26. Tojek, Tina M. , Mark A. Lumley , Michelle Corlis , Steven Ondersma , and Vasundhara Tolia
    2002 “Maternal Correlates of Health Status in Adolescents with Inflammatory Bowel Disease.” Journal of Psychosomatic Research52 (3):173–79. 10.1016/S0022‑3999(01)00291‑4
    https://doi.org/10.1016/S0022-3999(01)00291-4 [Google Scholar]
  27. Wirtz, Veronika , Alan Cribb , and Nick Barber
    2006 “Patient–doctor Decision-Making about Treatment within the consultation – A Critical Analysis of Models.” Social Science and Medicine62 (1):116–24. 10.1016/j.socscimed.2005.05.017
    https://doi.org/10.1016/j.socscimed.2005.05.017 [Google Scholar]
  28. Zanini, Claudia A. and Sara Rubinelli
    2012 “Using Argumentation Theory to Identify the Challenges of Shared Decision-Making When the Doctor and the Patient Have a Difference of Opinion.” Journal of Public Health Research1 (2): 165–69. doi:  10.4081/jphr.2012.e26
    https://doi.org/10.4081/jphr.2012.e26 [Google Scholar]
  29. Zanini, Claudia , Piercarlo Sarzi-Puttini , Fabiola Atzeni , Manuela Di Franco , and Sara Rubinelli
    2015 “Building Bridges between Doctors and Patients: The Design and Pilot Evaluation of a Training Session in Argumentation for Chronic Pain Experts.” BMC Medical Education15:89. 10.1186/s12909‑015‑0374‑6
    https://doi.org/10.1186/s12909-015-0374-6 [Google Scholar]
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