theories Flashcards
(29 cards)
who talks about stigmatisation?
srivastava
what is stigmatisation?
attaching a negative label/stereotype to a person’s condition and discriminating them because of this, causing negative patient outcomes as they’re less likely to take advice.
who talks about language being a collaborative therapeutic relationship?
cox and fritz
what do cox and fritz say about language of health professionals?
patient blaming language will affect relationship and a collaborative therapeutic relationship should be formed, like a partnership.
what does srivastava say about backchannelling?
doctors should practice ‘active listening, expressing empathy and open-ended questions’
what does srivastava say about the connection between patient outcomes and language?
‘the evidence shows a correlation between language perceptions, attitudes and outcomes’
what type of language does srivastava say that doctors should adopt?
‘person-first, strength-based language’
what do cox and fritz call patient blaming language?
moralistic
according to cox and fritz, what does changing language act as for changing doctors’ approach to healthcare?
a catalyst.
what do cox and fritz say abot doctors using terms such as ‘denied’ or ‘claimed’?
it implies disbelief and patients react negatively.
who talks about instrumental and influential power?
fairclough.
what is instrumental power?
imposed by the government/legal system explicitly, no choice.
what is influential power?
aiming to make people believe certain ideas with no force. (expert and referent)
who talks about using expert and referent power?
french and raven.
who talks about critical discourse analysis?
fairclough.
what is critical discourse analysis?
the idea of us being consumers is just a construction by capitalism and isn’t actually the norm, we just see it as that.
what sort of hierarchical structure is there in all these texts?
doctor/patient hierarchy.
what is face threatening act?
speech with the potential to damage self esteem.
who talks about face threatening act?
goffman
what is positive face?
our desire to be liked, so any praise/rewarding language.
what is negative face?
don’t want to be imposed on, so not telling someone what to do.
what is a big aspect of neoliberal ideology?
pushing responsibility onto patients.
according to nhs improving communication, what were some key features of 19th century health advice?
“in most examples, the advice presented in guidebook literature was detailed”
“most 19th century health manuals were clearly written for m/c readers”
some advice from nhs language matters?
“our approach needs to be collaborative and engaging, not authoritarian and judgemental”
“the use of negative language can reinforce harmful stereotypes, increase stigma and add to the psychological burden”
“avoid language which attributes blame”
