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Futile Treatment in Hospital: Doctors’ Intergroup Language
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Abstract:
Treatment that will not provide significant net benefit at the end of a person’s life (called futile treatment) is considered by many people to represent a major problem in the health sector, as it can waste resources and raise significant ethical issues. Medical treatment at the end of life involves a complex negotiation that implicates intergroup communication between health professionals, patients, and families, as well as between groups of health professionals. This study, framed by intergroup language theory, analyzed data from a larger project on futile treatment, in order to examine the intergroup language associated with futile treatment. Hospital doctors (N = 96) were interviewed about their understanding of treatment given to adult patients at the end of life that they considered futile. We conducted a discourse analysis on doctors’ descriptions of futile treatment provided by themselves and their in-group and out-group colleagues. Results pointed to an intergroup context, with patients, families, and colleagues as out-groups. In their descriptions, doctors justified their own decisions using the language of logic, ethics, and respect. Patients and families, however, were characterized in terms of wishing and wanting, as were out-group colleagues. In addition, out-group doctors were described in strongly negative intergroup language.
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Keyword:
1203 Language and Linguistics; 3207 Social Psychology; 3304 Education; 3310 Linguistics and Language; 3312 Sociology and Political Science; 3314 Anthropology; end of life; futile treatment; intergroup health communication; linguistic intergroup bias
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URL: https://espace.library.uq.edu.au/view/UQ:367516
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| 42 |
Communication between hospital doctors: underaccommodation and interpretability
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| 44 |
The conscientiousness paradox: cultural mindset shapes competence perception
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| 45 |
Communication in open disclosure conversations about adverse events in hospitals
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| 47 |
Early markers of vulnerable language skill development in galactosaemia
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| 48 |
Age at assessment a critical factor when monitoring early communicative skills in children with galactosaemia
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| 49 |
The road to reading for South African learners: the role of orthographic depth
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| 51 |
Making knowledge visible in discourse: implications for the study of linguistic evidentiality
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| 52 |
Reconsidering communicative competence in Web 2.0 environments: "Asians in the library" and four parodic responses on YouTube
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| 53 |
Epilogue: the first-second order distinction in face and politeness research
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| 54 |
Impaired language abilities and pre-linguistic communication skills in a child with a diagnosis of galactosaemia
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| 55 |
Wide externalism and the roles of biology and culture in human emotional development
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| 57 |
Membership categorization analysis: Wild and promiscuous or simply the joy of Sacks?
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| 58 |
Epilogue: trends and forecasts in language and social psychology scholarship
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| 59 |
A typology of penile cutting in Papua New Guinea: results of a modified Delphi study among sexual health specialists
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| 60 |
Address terms in turn beginnings: Managing disalignment and disaffiliation in telephone counseling
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