‘What Brings Him Here Today?’: Medical Problem Presentation Involving Children with Autism Spectrum Disorders and Typically Developing Children.
‘What Brings Him Here Today?’: Medical Problem Presentation Involving Children with Autism Spectrum Disorders and Typically Developing Children.
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DOI：
10.1007/s10803-015-2550-2
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发表时间：
2016-02
影响因子：
3.9
通讯作者：
Bauman ML
中科院分区：
文献类型：
--
作者：
Solomon O;Heritage J;Yin L;Maynard DW;Bauman ML
对话和话语分析被用来检查儿科护理中的医疗问题介绍。分析了涉及ASD儿童和典型发育儿童的医疗保健访问。我们研究了儿童的沟通和认知能力，以及他们的机会，社会化成为一个称职的病人的角色是如何互动实现的。我们发现，医疗问题介绍的目的是包含一个“访前”帐户的interpertinent和认知的工作，儿童和照顾者在家里进行，以确定儿童的健康问题;和儿童的经验，成为ASD中断的主体间的可访问性提出了一个两难的所有参与者在访问中。这篇文章探讨了ASD患者未满足的医疗需求和放弃医疗护理的根源。
Conversation and discourse analyses were used to examine medical problem presentation in pediatric care. Healthcare visits involving children with ASD and typically developing children were analyzed. We examined how children’s communicative and epistemic capabilities and their opportunities to be socialized into a competent patient role are interactionally achieved. We found that medical problem presentation is designed to contain a ‘pre-visit’ account of the interactional and epistemic work that children and caregivers carry out at home to identify the child’s health problems; and that the intersubjective accessibility of children’s experiences that becomes disrupted by ASD presents a dilemma to all participants in the visit. The article examines interactional roots of unmet healthcare needs and foregone medical care of people with ASD.