COMMUNICATIVE STYLES AND ADAPTATIONS IN PHYSICIAN-PARENT CONSULTATIONS
COMMUNICATIVE STYLES AND ADAPTATIONS IN PHYSICIAN-PARENT CONSULTATIONS
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DOI：
10.1016/0277-9536(92)90289-3
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发表时间：
1992-05-01
影响因子：
5.4
通讯作者：
STREET, RL
中科院分区：
文献类型：
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作者：
STREET, RL
这项调查比较了个人因素和互动因素分别解释医生与家长沟通交流模式变化的程度。对 115 次儿科咨询录音的分析揭示了几个值得注意的发现：(a) 每位医生在提供信息、发出指示、表现出积极的社会情感行为和参与建立伙伴关系的程度方面存在差异，(b) 提出更多问题并表达更多负面情绪（例如担忧、沮丧）的家长从医生那里得到了更多的信息和指示，(c) 情感表达能力更强的父母从医生那里得到了更多积极的社会情感评论。 (d) 家长的提问和意见与家长的教育水平以及医生参与建立伙伴关系的程度有关。这项研究的结果表明，与其他形式的人际沟通一样，医疗咨询是个人和相互影响的过程，它根据个人的特征以及与互动者如何调整彼此的沟通相关的互动过程而展开。
This investigation compares the degree to which personal and interactive factors respectively account for variation in patterns of physician-parent communicative exchange. The analysis of audiorecordings of 115 pediatric consultations revealed several notable findings: (a) individual physicians differed in the degree to which each provided information, issued directives, exhibited positive socioemotional behavior, and engaged in partnership-building, (b) parents who asked more questions and expressed more negative affect (e.g. concerns, frustrations) received more information and directives from physicians, (c) parents who were more affectively expressive elicited a greater number of positive socioemotional comments from doctors, and (d) parents' question-asking and opinion-giving were related to the parents' level of education and the degree to which physicians' engaged in partnership-building. The results of this study suggest that, as are other forms of interpersonal communication, medical consultations are processes of personal and mutual influence that unfold according to the characteristics of the individuals and to interactive processes related to how interactants adapt their communication to one another.