Ways people manage risks, social roles, and relationships in communicating about difficult emotions in hospice consultations

该项目将研究在绝症的背景下，包括恐惧和痛苦在内的困难情绪的沟通。我将研究现有的临终关怀咨询的视频记录语料库，涉及患者的生命限制性疾病，他们的同伴，和医疗保健从业人员（HCP：姑息医学医生，物理治疗师和职业治疗师）。先前的研究表明，这些当事人可以模棱两可地对待情感问题的沟通，不确定它们是否应该成为焦点，以及如何成为焦点，并表现出明显的敏感性;这样做的一种方式是暗示存在情感问题。与死亡有关的情绪是最难体验和交流的情绪之一。在这个项目中，重点将是当病人作出的举动，可以启动这样的沟通。这将有助于社会科学的理解人们如何谈判是否以及如何谈论困难的情绪，建立和增加在这一领域的先前研究（Bericat，2015; Peräkylä和Sorjonen 2012）。该项目的方法是会话分析（CA）。CA是系统研究人们如何通过谈话进行社会互动的严格方法。它被广泛应用于研究医生和患者在医疗服务中如何互动。CA的优势在于它能够详细描述人们如何通过谈话和其他交流资源（例如，非言语）。CA提供了基于经验的见解，参与者的行动反映和塑造更广泛的关注，如社会角色和关系的取向。该项目将为社会科学理解人们如何在互动中协商困难情绪的表达提供新的贡献。这项研究也对应用传播研究有影响。

The project will investigate communication of difficult emotions including fear and distress in the context of terminal illness. I will examine an existing corpus of video-recordings of hospice consultations involving patients with life limiting illness, their companions, and healthcare practitioners (HCPs: palliative medicine doctors, physiotherapists, and occupational therapists). Prior work shows these parties can treat communication of emotional matters with equivocality regarding whether and how they should be a focus and marked sensitivity; one way of doing so is to hint at the presence of an emotional concern. Emotions relating to one's death are amongst the most difficult to experience and communicate about. In this project, the focus will be on when patients make moves that can initiate such communication. This will contribute to social-scientific understandings of how people negotiate whether and how difficult emotions are talked about, building on and adding to prior research in this area (Bericat, 2015; Peräkylä and Sorjonen 2012). The methodology of this project is conversation analysis (CA). CA is a rigorous approach to the systematic study of how people socially interact through talk. It is widely applied to studying of how practitioners and patients interact in healthcare services. The strength of CA is its capacity to characterise in detail how people implement social actions through talk and other communicative resources (e.g., the non-verbal). CA provides empirically grounded insights into the ways in which participants' actions reflect and are shaped by broader concerns, such as orientations to social roles and relationships. The project will provide novel contributions to social scientific understandings of how people negotiate the expression of difficult emotions in their interactions. The study also has implications for applied communication research.