Alle Publikationen
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2014
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(2014): Age-related differences in judgments of inappropriate behavior are related to humor style preferences. In: Psychology and Aging 29 (3), S. 528-541. DOI: 10.1037/a0036666
DOI: http://www.ncbi.nlm.nih.gov/pubmed/25244473 Abstract: Identifying social gaffes is important for maintaining relationships. Older adults are less able than young to discriminate between socially appropriate and inappropriate behavior in video clips. One open question is how these social appropriateness ratings relate to potential age differences in the perception of what is actually funny or not. In the present study, young, middle-aged, and older adults were equally able to discriminate between appropriate and inappropriate social behavior in a diverse set of clips relevant across age groups. However, young and middle-aged adults rated the gaffe clips as funnier than control clips and young adults smiled more during the inappropriate clips than the control clips. Older adults did not show this pattern, suggesting that they did not find the inappropriate clips funny. Additionally, young adults endorsed a more aggressive humor style than middle-aged and older adults and aggressive humor style endorsement mediated age differences in social appropriateness ratings. Results are discussed in terms of possible mechanisms such as cohort differences in humor and developmental prioritization of certain humor styles, as well as the importance of investigating age differences in both abilities and preferences.
2011
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(2011): Courteous but not curious. How doctors' politeness masks their existential neglect. A qualitative study of video-recorded patient consultations. In: Journal of medical ethics 37 (11), S. 650-654. DOI: 10.1136/jme.2010.041988
DOI: http://www.ncbi.nlm.nih.gov/pubmed/21610269 Abstract: OBJECTIVE To study how doctors care for their patients, both medically and as fellow humans, through observing their conduct in patient-doctor encounters. DESIGN Qualitative study in which 101 videotaped consultations were observed and analysed using a Grounded Theory approach, generating explanatory categories through a hermeneutical analysis of the taped consultations. SETTING A 500-bed general teaching hospital in Norway. PARTICIPANTS 71 doctors working in clinical non-psychiatric departments and their patients. RESULTS The doctors were concerned about their patients' health and how their medical knowledge could be of service. This medical focus often over-rode other important aspects of the consultations, especially existential elements. The doctors actively directed the focus away from their patients' existential concerns onto medical facts and rarely addressed the personal aspects of a patient's condition, treating them in a biomechanical manner. At the same time, however, the doctors attended to their patients with courteousness, displaying a polite and friendly attitude and emphasising the relationship between them. CONCLUSIONS The study suggests that the main failing of patient-doctor encounters is not a lack of courteous manners, but the moral offence patients experience when existential concerns are ignored. Improving doctors' social and communication skills cannot resolve this moral problem, which appears to be intrinsically bound to modern medical practice. Acknowledging this moral offence would, however, be the first step towards minimising the effects thereof.
2006
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(2006): "Tu" or "Vous?" A European qualitative study of dignity and communication with older people in health and social care settings. In: Patient education and counseling 61 (3), S. 363-371. DOI: 10.1016/j.pec.2005.04.014
DOI: http://www.ncbi.nlm.nih.gov/pubmed/15970421 Abstract: OBJECTIVE To examine the experiences of communication between older people and health and social care providers in six European countries. METHODS Focus groups were carried out with groups of older people (91 focus groups, 391 participants), and health and social care professionals (85 focus groups, 424 participants), in order to gain insights into concepts of good communications. Data collection and analysis continued concurrently according to the method of constant comparison. RESULTS Different styles of communication between professionals and older people were found to be capable of enhancing or jeopardising dignity. The use of appropriate forms of address, listening, giving people choice, including them, respecting their need for privacy and politeness, and making them feel valued emerged as significant ways to maintain older peoples' sense of self-worth and dignity. Despite being aware of good communication practices, health and social care professionals often failed to implement them. Lack of time, staff, resource scarcity, regulation and bureaucracy were cited as barriers, as was a lack of awareness and effort. CONCLUSIONS AND PRACTICE IMPLICATIONS The findings have important implications for health and social care professionals when they engage with older people.
Keywords: 80 and over, Adolescent, Adult, Aged, Attitude of Health Personnel, Attitude to Health, ATTITUDES, Choice Behavior, Communication, Confidentiality, Europe, Female, Focus Groups, Health Knowledge, Humans, Intergenerational Relations, Male, Middle Aged, Morals, Personal Autonomy, practice, Professional-Patient Relations, PSYCHOLOGY, Qualitative research, Self Efficacy, Semantics, Social Values, time, Videotape Recording
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