ArticleSocial science & medicine (1982)2009
The clinical encounter as local moral world: shifts of assumptions and transformation in relational context.
Article in Social science & medicine (1982), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Effectiveness of the DECIDE Interventions on Shared Decision Making and Perceived Quality of Care in Behavioral Health With Multicultural Patients: A Randomized Clinical Trial.JAMA psychiatry · 2018Trial
- Cultural pathways to psychosis care: Patient and caregiver narratives from Puebla, Mexico.Transcultural psychiatry · 2025Article
- Narrative medicine in ethics education: from theory to practice.Journal of medical ethics and history of medicine · 2025Review
- A qualitative analysis of the documentation of DSM-5 Cultural Formulation Interviews with non-native speaking patients in a Swedish mental health care setting.Frontiers in psychiatry · 2024Article
- Communication and engagement as potentiality in everyday life between persons with young onset dementia living in a nursing home and caregivers.International journal of qualitative studies on health and well-being · 2022Article
- Trauma Recovery Rubric: A Mixed-Method Analysis of Trauma Recovery Pathways in Four Countries.International journal of environmental research and public health · 2022Article
- The moral discourse of HIV providers within their organizational context: An ethnographic case study.Patient education and counseling · 2018Article
- Influencing everyday activities in a nursing home setting: A call for ethical and responsive engagement.Nursing inquiry · 2018Article
- "Little things matter!" Exploring the perspectives of patients with dementia about the hospital environment.International journal of older people nursing · 2017Article
- How patients and clinicians make meaning of physical suffering in mental health evaluations.Transcultural psychiatry · 2016Article
- Removing Obstacles To Eliminating Racial And Ethnic Disparities In Behavioral Health Care.Health affairs (Project Hope) · 2016Article
- Contextual Factors in the Health of People With Serious Mental Illness.Qualitative health research · 2014Article
- Barriers to implementing the DSM-5 cultural formulation interview: a qualitative study.Culture, medicine and psychiatry · 2013Article
- A diversity of voices: the McGill 'Working with Culture' seminars.Culture, medicine and psychiatry · 2013Article
- The role of sociocultural information in mental health intake sessions.The Israel journal of psychiatry and related sciences · 2012Article
- "Just be straight with me:" an exploration of Black patient experiences in initial mental health encounters.The American journal of orthopsychiatry · 2011Article
- How clinicians make (or avoid) moral judgments of patients: implications of the evidence for relationships and research.Philosophy, ethics, and humanities in medicine : PEHM · 2010Review
- One size does not fit all: taking diversity, culture and context seriously.Administration and policy in mental health · 2010Article
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Authors and funding
2 authors.
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Abstract
In this study we consider the process of the clinical encounter, and present exemplars of how assumptions of both clinicians and their patients can shift or transform in the course of a diagnostic interview. We examine the process as it is recalled, and further elaborated, in post-diagnostic interviews as part of a collaborative inquiry during reflections with clinicians and patients in the northeastern United States. Rather than treating assumptions by patients and providers as a fixed attribute of an individual, we treat them as occurring between people within a particular social context, the diagnostic interview. We explore the diagnostic interview as a landscape in which assumptions occur (and can shift), navigate the features of this landscape, and suggest that our examination can best be achieved by the systematic comparison of views of the multiple actors in an experience-near manner. We describe what might be gained by this shift in assumptions and how it can make visible what is at stake for clinician and patient in their local moral worlds-for patients, acknowledgment of social suffering, for clinicians how assumptions are a barrier to engagement with minority patients. It is crucial for clinicians to develop this capacity for reflection when navigating the interactions with patients from different cultures, to recognize and transform assumptions, to notice 'surprises', and to elicit what really matters to patients in their care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.