By Martin Robb; et al

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Example text

There is a value in being able to look at accounts of care exchanges from both perspectives in order to get to grips with the complexities and challenges in informal care. Interviews from both studies pointed to several themes that are not represented in government thinking on informal care. Initially this was focused at the level of resisted or unwanted identities – characterised in variations of the oft-quoted ‘I’m not a carer – she’s my wife’. The resistance to the label carer (and indeed caree) is about the meaning for those speakers, that is, the meanings of the labels that are used to describe people involved in a care relationship.

We rated five of the seven in the poorest outcome category 4. Patients and doctors seemed to be operating at odds to each other. Patients often seemed relaxed and happy to chat away in the voice of the lifeworld about their concerns while doctors stayed rigidly inside the biomedical format. Six of the patients in this group knew their doctor well and had been on their list for between two and ten years. Perhaps this was a factor in allowing patients to feel able to introduce the concerns of the lifeworld.

As well as frustration with his situation, Steve was fairly angry as he had visited another doctor at the practice the day before and got no action on his situation. He was desperate to get something done. 2, show points at which the doctor’s replies in the voice of medicine seem very disjointed against the patient’s voicing of his lifeworld concerns. This pattern reoccurs at six points during the consultation, mostly in the first half. It is as though the patient tries valiantly to be listened to on his terms but slowly gives up and retreats into the voice of medicine.

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Communication, relationships and care : a reader by Martin Robb; et al
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