Equalitarian and Hierarchal Patients: an Investigation among Hadassah Hospital Patients

Shiloh, Ailon

doi:10.1097/00005650-196504000-00003

Cited by 9 publications

(4 citation statements)

References 14 publications

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“…and of the manipulation and control of Information by the Professional (Shiloh, 1972;Barber, 1980). Doctor talk has been described äs evasive, general, limiting, abrupt and technical (Shuy, 1976), and legal Jargon has been the focus of criticism for centuries (Danet, 1980).…”

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confidence: 99%

Challenge and control in lawyer-client interaction: A case study in an Israeli Legal Aid office

Bogoch¹,

Danet²

1984

Text - Interdisciplinary Journal for the Study of Discourse

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In contrast to the traditional depiction of lawyers äs providing loyal disinterested Service to clients, analysis of one lawyer-client interaction in a legal aid office revealed that the lawyer used language to control the dient's presentation of the case t and to define it in terms of convenience to the organization rather than the expressed wishes of the dient. Three types of linguistic strategies relating to the control oftalk were examined: (l) management of structural features; (2) choice of instrumentality; and (3) management of international features. Structural strategies of interruptions and topic control served to display the lawyer's expertise, while preventing the dient from enhancing his Status. The form of the directives controlled the dient's responses, forcing him to react to the lawyer's assertions rather than servingas the primary source of Information, while the use of performatives and other elements of the formal register served to highlight the lawyer's control. Frequent challenges to the dient's adherence to the rnaxim ofquality by the use of repetitions, requcsts for outside confirmation, reformulations, repeat questions without waiting for a reply, and unfounded presuppositions combined with the other features to establish a dialogue that is very much like crossexamination.

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confidence: 99%

Challenge and control in lawyer-client interaction: A case study in an Israeli Legal Aid office

Bogoch¹,

Danet²

1984

Text - Interdisciplinary Journal for the Study of Discourse

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“…This patient often plays a consumer role, insisting on his or her rights as a patient, especially the "right to know." Coser (1962), making a similar distinction, refers to good patients as "primary" patients, and to bad patients as "instrumental," a reference to their insistence on their autonomy, their right to criticize, their right to be well informed (see also Shiloh, 1965). These patients are suspicious of their treatment, and they react negatively to most efforts to mollify them.…”

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confidence: 99%

Hospital Patient Behavior: Reactance, Helplessness, or Control?

Taylor

1979

Journal of Social Issues

224

125

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Hospitals are commonly regarded as unpleasant places to be. The reason is that, as a total institution, the hospital creates a depersonalizing environment that forces the patient to relinquish control over his or her daily existence. It is suggested that patients cope with depersonalizing loss of control by assuming “good patient” behavior or “bad patient” behavior. Predictions are offered as to who will show which behavior pattern under which circumstances. However, a review of these patterns suggests that some “good patients” may actually be in a state of anxious or depressed helplessness, whereas “bad patients” are exhibiting anger and reactance against the perceived arbitrary removal of freedoms. An analysis of the behavioral, cognitive, affective and physiological correlates of these patterns, as well as the behaviors they elicit in staff, suggests that both the “good patient” and the “bad patient” sustain health risks. It is argued that a more informed and participative role for the hospital patient can eliminate or offset many of these risks and actually improve the level of physical and psychological health in the hospital setting.

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“…The attitude of health care providers toward HIV patients is mainly built on a mainstream culture of associations between HIV/AIDS and immoral behaviors. A coexistence of blaming on one hand and professionalism40,41 and equalitarianism42 on the other hand indicated a contradiction between knowledge/competence in care and attitudes toward HIV/AIDS patients 25,43,44. It also reflected a contradiction between stigmatized attitudes acquired from the community and professional knowledge and competence on HIV/AIDS care.…”

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confidence: 99%

Development of internalized and personal stigma among patients with and without HIV infection and occupational stigma among health care providers in Southern China

Li¹,

Assanangkornchai²,

Lü³

et al. 2016

PPA

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BackgroundHIV/AIDS-related stigma is a major barrier of access to care for those infected with HIV. The aim of this study was to examine, validate, and adapt measuring scales of internalized, personal, and occupational stigma developed in Africa into a Chinese context.MethodsA cross-sectional study was conducted from January to September 2015 in Kunming, People’s Republic of China. Various scales were constructed on the basis of the previous studies with modifications by experts using exploratory and confirmatory factor analyses (EFA + CFA). Validation of the new scales was done using multiple linear regression models and hypothesis testing of the factorial structure invariance.ResultsThe numbers of subjects recruited for the development/validation samples were 696/667 HIV-positive patients, 699/667 non-HIV patients, and 157/155 health care providers. EFA revealed a two-factor solution for internalized and personal stigma scales (guilt/blaming and being refused/refusing service), which were confirmed by CFA with reliability coefficients (r) of 0.869 and 0.853, respectively. The occupational stigma scale was found to have a three-factor structure (blaming, professionalism, and egalitarianism) with a reliability coefficient (r) of 0.839. Higher correlations of factors in the HIV patients (r=0.537) and non-HIV patients (r=0.703) were observed in contrast to low-level correlations (r=0.231, 0.286, and 0.266) among factors from health care providers.ConclusionThe new stigma scales are valid and should be used to monitor HIV/AIDS stigma in different groups of Chinese people in health care settings.

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Equalitarian and Hierarchal Patients: an Investigation among Hadassah Hospital Patients

Cited by 9 publications

References 14 publications

Challenge and control in lawyer-client interaction: A case study in an Israeli Legal Aid office

Challenge and control in lawyer-client interaction: A case study in an Israeli Legal Aid office

Hospital Patient Behavior: Reactance, Helplessness, or Control?

Development of internalized and personal stigma among patients with and without HIV infection and occupational stigma among health care providers in Southern China

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