title: Disclosing and responding to cancer "fears" during oncology interviews.
abstract: Video-excerpts from routine oncology interviews are examined to reveal how patients demonstrate and doctors respond to "fears" about cancer. Vocally and visually, embodied impacts of dealing with dreaded consequences of cancer are apparent when addressing both good and potentially bad cancer news. Even a "brush" with cancer can promote negative and ongoing impacts provoking unresolved illness dilemmas. We reveal how, in the midst of extending answers and initiating concerns, patients exhibit trepidations when volunteering narrative information about their medical history and experience of symptoms. In response, doctors are shown to acknowledge yet exhibit minimal receptiveness to patients' lifeworld disclosures and demonstrations (e.g., redirecting attention away from patients' concerns by offering "textbook" symptoms and related pursuits of biomedical agendas). Discussion focuses on interactional criteria for identifying "fears", patients' lay orientations to medical visits, and implications for refining educational workshops for oncologists.
authors.affiliation: School of Communication, San Diego State University, San Diego, CA 92182-4561, USA. wbeach@mail.sdsu.edu
authors.forename: Wayne A
authors.initials: WA
authors.lastname: Beach
authors.forename: David W
authors.initials: DW
authors.lastname: Easter
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Good
authors.forename: Elisa
authors.initials: E
authors.lastname: Pigeron
mesh_terms: D001294:Attitude to Health; D003142:Communication; D005239:Fear / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D009369:Neoplasms / Q000523:psychology*; D010817:Physician-Patient Relations; D014743:Videotape Recording