Dialogic transformations of preoccupations in pediatric primary care: an empirical inquiry

In pediatric primary care, health providers dialogue with (at least) two users (parent and son/daughter) and conversation about child’s health often elicit many anxieties. In this study, authors documented conversations in 265 visits, analyzed with the Verona Coding Definitions of Emotional Sequences (VR-CoDES) (Del Piccolo et al., 2010) to identify cues (expressions in which emotions are not clearly verbalized) and concerns (clear verbal expressions of unpleasant emotional states) expressed by patients, as well as the responses of health care providers to these signals. To analyze the interdependence relationships between the matrix of cues/concerns and the matrix of responses, authors used Sparse Canonical Correlation Analysis (SCCA) (Hastie et al., 2015), which computes pairs of components, one for each group of variables, by maximizing the Pearson correlation coefficient between them. Authors identified conversational interaction patterns with a focus on cues/concerns and responses. This patterns show, in the Doctor - Parent Relationship, many difficulties to explore the emotional field and dialogues quickly interrupted with reassurances; emotions are poorly recognized in their informative function. Generally, it appears a very prescriptive medical practice that is it not aimed at developing parenting skills, which are useful to the care of child.

Keywords: Doctor-patient relationship, pediatric primary care, emotions in medicine, conversational analysis.

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Francesca Dicé, Assunta Maiello, Pasquale Dolce, Maria Francesca Freda, Le trasformazioni dialogiche delle preoccupazioni in Pediatria di Famiglia: un’indagine empirica in "PSICOLOGIA DELLA SALUTE" 3/2017, pp 74-96, DOI: 10.3280/PDS2017-003004