This study aims to investigate the notion of power in Mosuli Arabic doctor-patient encounters by establishing the kind of model of interaction adopted in doctor-patient interactions. The theoretical framework adopted in the study is Roter and Hall's typology of models. The naturalistic observation method is the method used to collect data from 10 doctors and 38 patients in different public and private medical settings. The study hypothesizes that doctors adopt a paternalistic model of interaction. The study finds that doctors exercise power when they interact with their patients as that most doctors adopt a paternalistic model of interaction, in which the doctor dominates the medical encounter. More academic research in this area is needed to be able to understand power and its impact on society in general and in medical settings in particular.
Table of Contents
1. Abstract
3. Introduction
4. Statement of the problem
4. Aim of the study
4. Hypothesis
5. Power
6. Types of Power
6. French and Raven's Typology (1959)
6. Brody's Typology (1992)
7. Language and Power
8. Models of Doctor-Patient Interactions
10. a.Paternalism
13. b. Consumerism
14. c. Mutuality
15. d. Default
15. Methodology
16. Data collection method
16. Population
17. Sampling
18. Sample Size
18. Method of Analysis
19. Findings and Discussion
21. Extract 1
22. Extract 2
22. Extract 3
24. Conclusions
Research Objectives and Themes
This study aims to investigate the nature and dynamics of power within Mosuli Arabic doctor-patient encounters by identifying the primary model of interaction used by practitioners. The research seeks to determine whether doctors exert dominance and how this affects the communication process and overall medical outcomes.
- Theoretical framework of doctor-patient interaction models (Roter and Hall, 2006).
- Empirical analysis of power distribution and linguistic manifestations in medical settings.
- Evaluation of the paternalistic model as the predominant interaction style.
- Identification of barriers preventing a shift toward more collaborative or mutual models.
Extract from the Book
Extract 1
D2: ʔɪntɑ ʔɪnṭ iːniː ʔɪldɑwɑ …w kɪluː ħɑd͡ʒiː xɑl iːnuː qɪdɑ:miː fɑd mɑrrɑ
P9: hɑ:?
D: 2xɑliː kɪlɪl ʔɑdwɪjɑ
P9: ʔɪlʔɑdwɪjɑ
D2: ʔɑnɑ ʔɑfhɑṣɑk … bɪlbɪdɑ:jɑ ʃɑwɪfniːl dɑwɑ ʔɪliː ʕɑtɑ:xɪðɑ
Eq.Tr
D2: give me the medications all of them… put Haji in front of me all at once.
P9: ha?
D2: Put all the medications
P9: Medications
D2: I check …I see your test results after I check you …but first show me the medications you are taking
Summary of Chapters
Introduction: Provides the theoretical grounding for the study, establishing language as a tool of social power and introducing the doctor-patient relationship within the context of existing interaction typologies.
Statement of the problem: Argues that power is an omnipresent and dynamic element of social relationships, particularly in medical encounters where manifestations of power can impact communication and health outcomes.
Aim of the study: Defines the research goal to examine the nature of power in Arabic medical settings and identify the specific models of interaction currently adopted by doctors.
Hypothesis: Proposes that the paternalistic model of interaction is the primary approach utilized by doctors in the study.
Power: Reviews the literature regarding the concept of power in social sciences, referencing key historical and contemporary scholars who define its nature and strategies of exercise.
Types of Power: Details established typologies, specifically French and Raven’s (1959) categories and Brody’s (1992) medical-specific framework of physician power.
Language and Power: Explores the intersection of linguistic usage and power, arguing that language is the primary medium through which power is exercised and social reality is constructed.
Models of Doctor-Patient Interactions: Provides an overview of various models of interaction and their implications for power distribution between the medical practitioner and the patient.
a.Paternalism: Analyzes the dominant paradigm where the doctor exerts full control and the patient remains passive.
b. Consumerism: Examines the patient-centric model where the practitioner acts as an information provider without influencing the patient’s final decision.
c. Mutuality: Explores an egalitarian model characterized by negotiation, empathy, and active participation from both doctor and patient.
d. Default: Describes the state of frustration and lack of progress when neither party can negotiate a functional interaction model.
Methodology: Details the qualitative research approach, the selection of the naturalistic observation method, and the rationale for using thematic analysis to interpret interactions.
Findings and Discussion: Presents the analysis of collected data, revealing the prevalence of the paternalistic model and quantifying the lack of patient initiatives in medical consultations.
Conclusions: Summarizes the study's findings, reiterating that the paternalistic model is dominant in Mosuli Arabic medical encounters and discussing the challenges for future shifts toward mutual or consumeristic models.
Keywords
power, doctor-patient interactions, paternalism, mutuality, consumerism, language, social relations, qualitative research, naturalistic observation, medical interview, patient autonomy, communication, Mosuli Arabic, thematic analysis, health outcomes.
Frequently Asked Questions
What is the core focus of this research?
The study investigates the nature and dynamics of power in medical consultations within Mosuli, specifically identifying which interaction model dominates between doctors and patients.
What are the primary thematic areas covered?
The paper covers the concept of power, various typologies of medical interaction, the link between language and power, and the specific dynamics of doctor-patient encounters.
What is the main research hypothesis?
The study hypothesizes that the paternalistic model, characterized by doctor dominance, is the predominant framework used in the observed medical encounters.
Which methodology is employed in this research?
The author employs a qualitative research design, utilizing the naturalistic observation method to record and analyze actual doctor-patient interactions in both public and private medical clinics.
What is covered in the main body of the work?
The main body examines different typologies of power (French and Raven, Brody), explores theoretical models of interaction (Paternalism, Consumerism, Mutuality, Default), and presents findings based on qualitative analysis and transcriptions of medical encounters.
How would you characterize the work using keywords?
The study is defined by terms such as power, doctor-patient interactions, paternalism, mutuality, consumerism, and medical communication.
What does the study reveal about the role of patients in these encounters?
The findings indicate that patients are generally passive, rarely initiate communication, and typically defer to the doctor's decisions and treatment orders.
Are there significant barriers to shifting toward a more mutual model?
Yes, the study identifies cultural and political complications, time constraints, and a lack of formal training in communication skills as significant obstacles to moving away from the paternalistic model.
- Citar trabajo
- Dr. Kamal Hussein (Autor), 2021, Different Manifestations of Power Models of Doctor-Patient Interactions in Mosul, Múnich, GRIN Verlag, https://www.grin.com/document/987345
