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Disclosing and responding to cancer "fears" during oncology interviews

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  • Beach, Wayne A.
  • Easter, David W.
  • Good, Jeffrey S.
  • Pigeron, Elisa

Abstract

Video-excerpts from routine oncology interviews are examined to reveal how patients demonstrate and doctors respond to "fears" about cancer. Vocally and visually, embodied impacts of dealing with dreaded consequences of cancer are apparent when addressing both good and potentially bad cancer news. Even a "brush" with cancer can promote negative and ongoing impacts provoking unresolved illness dilemmas. We reveal how, in the midst of extending answers and initiating concerns, patients exhibit trepidations when volunteering narrative information about their medical history and experience of symptoms. In response, doctors are shown to acknowledge yet exhibit minimal receptiveness to patients' lifeworld disclosures and demonstrations (e.g., redirecting attention away from patients' concerns by offering "textbook" symptoms and related pursuits of biomedical agendas). Discussion focuses on interactional criteria for identifying "fears", patients' lay orientations to medical visits, and implications for refining educational workshops for oncologists.

Suggested Citation

  • Beach, Wayne A. & Easter, David W. & Good, Jeffrey S. & Pigeron, Elisa, 2005. "Disclosing and responding to cancer "fears" during oncology interviews," Social Science & Medicine, Elsevier, vol. 60(4), pages 893-910, February.
    • Handle: RePEc:eee:socmed:v:60:y:2005:i:4:p:893-910
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    1. Molleman, Eric & Krabbendam, Pieter J. & Annyas, Albertus A. & Koops, Heimen Schraffordt & Sleijfer, Dirk Th. & Vermey, Albert, 1984. "The significance of the doctor-patient relationship in coping with cancer," Social Science & Medicine, Elsevier, vol. 18(6), pages 475-480, January.
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    4. Stewart, Moira A., 1984. "What is a successful doctor-patient interview? a study of interactions and outcomes," Social Science & Medicine, Elsevier, vol. 19(2), pages 167-175, January.
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    Cited by:

    1. McCormack, Lauren A. & Treiman, Katherine & Rupert, Douglas & Williams-Piehota, Pamela & Nadler, Eric & Arora, Neeraj K. & Lawrence, William & Street Jr., Richard L., 2011. "Measuring patient-centered communication in cancer care: A literature review and the development of a systematic approach," Social Science & Medicine, Elsevier, vol. 72(7), pages 1085-1095, April.
    2. Clarke, Juanne N. & Everest, Michelle M., 2006. "Cancer in the mass print media: Fear, uncertainty and the medical model," Social Science & Medicine, Elsevier, vol. 62(10), pages 2591-2600, May.

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