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Cited by 196Patient-Provider Communication in HealthcareEmpathy and Medical EducationLanguage, Discourse, Communication Strategies

Communicative styles and adaptations in physician–parent consultations

Street, Richard L.·1992·Social Science & Medicine
DOI 10.1016/0277-9536(92)90289-3
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Abstract

This investigation compares the degree to which personal and interactive factors respectively account for variation in patterns of physician-parent communicative exchange. The analysis of audiorecordings of 115 pediatric consultations revealed several notable findings: (a) individual physicians differed in the degree to which each provided information, issued directives, exhibited positive socioemotional behavior, and engaged in partnership-building, (b) parents who asked more questions and expressed more negative affect (e.g. concerns, frustrations) received more information and directives from physicians, (c) parents who were more affectively expressive elicited a greater number of positive socioemotional comments from doctors, and (d) parents' question-asking and opinion-giving were related to the parents' level of education and the degree to which physicians' engaged in partnership-building. The results of this study suggest that, as are other forms of interpersonal communication, medical consultations are processes of personal and mutual influence that unfold according to the characteristics of the individuals and to interactive processes related to how interactants adapt their communication to one another.

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Crossref · 10.1016/0277-9536(92)90289-3

Cites

50 of 50 references verified0 citation errors · 0 not checkable

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  • Street et al. concluded doctors provided more comments of reassurance, support and empathy to parents who were more affectively expressive (especially negative affect).

    “The studies of Street et al. (supra) concluded that doctors provided more comments of reassurance, support and empathy to parents who were more affectively expressive (more specificly who expressed more negative affect).”

    From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [26]

  • In Street et al. second study, more educated parents are more expressive, have higher level of being opinionated, and ask more questions (pr=0.24, p<0.02).

    “In this study it becomes clear that more educated parents not only are more expressive and have a higher level of being opinionated but they also ask more questions (pr = 0.24, p < 0.02).”

    From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [26]

  • The variability among doctor-patient interactions in part reflects differences in the physicians' communicative routines for conducting a consultation.

    “The variability among doctor-patient interactions in part reflects also these differences in the physicians' communicative routines for conducting a consultation.(26)”

    From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [26]

  • Patients' communicative behaviour is directly influenced by personal and social attributes such as educational level, age, sex, anxiety.

    “The patients' communicative behaviour is directly influenced by his/her personal and social attributes such as educational level, age, sex, anxiety, … .(25,26)”

    From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [26]

  • There is large interindividual variation in the physicians' degree to which he provides information, issues directives, exhibits positive socio-emotional behaviour and engages in partnership-building.

    “Finally, although not immediately related to the patients' social class, we mention the large interindividual variation in the physicians' degree to which he provides information, issues directives, exhibits positive socio-emotional behaviour and engages in partnership-building.”

    From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [26]

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Authors
Street, R. L.
Affiliations
Texas A&M University (US)
Corresponding author
Street, Richard L.
ORCID
Street, Richard L.
Venue
Social Science & Medicine
Publisher
Elsevier BV
Published
1992-05
Volume
34
Issue
10
Pages
1155-1163
ISSN
0277-9536 (ISSN-L)
DOI
10.1016/0277-9536(92)90289-3
OpenAlex
W2066437506
Cited by
196
References
53
Citations by year
2026: 1 · 2025: 5 · 2024: 1 · 2023: 3 · 2022: 7 · 2021: 4 · 2020: 3 · 2019: 7 · 2018: 7 · 2017: 5 · 2016: 5 · 2015: 4 · 2014: 8 · 2013: 12 · 2012: 3
FWCI
6.35
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Social Science & Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
  • Social Sciences › Arts and Humanities › Language and Linguistics › Language, Discourse, Communication Strategies
Keywords
parent-physician communication, pediatric consultation, communication styles, communication adaptation, physician-patient interaction, information provision, partnership development, parental education, interpersonal influence
MeSH terms
Communication, Educational Status, Emotions, Female, Humans, Individuality, Male, Parents, Pediatrics, Personal Satisfaction, Physician-Patient Relations, Referral and Consultation, Social Adjustment

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