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Expectations, Emotions, and Medical Decision Making

A Case Study on the Use of Amniocentesis

Bibliographic Data

ID2394488
AuthorsCarole H Browner (0000-0002-6754-389X, Neurobehavioral Systems), H Mabel Preloran (University of California, Los Angeles)
Year2004
Volume41
Issue4
Pages427-444
Publication date2004-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueTranscultural Psychiatry (JOURNAL)
Journal identifiersISSN: 1363-4615 • E-ISSN: 1461-7471
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1363461504045646
PMID15709644
OpenAlexW2148447235
LanguageEN
Citations received1
References cited29

The medical decision-making literature has paid scant attention to how prior expectations of patients and clinicians can influence medical encounters and affect patients' choices whether to accept or reject medical testing or treatment. To illuminate the issue, we offer a reflexive analysis of the experiences of a Mexican-American couple offered amniocentesis based on the woman's age and prior pregnancy history. We examine the impact of three principal factors: incongruity between expectations and reality for both patient and clinicians; the actors' ethnic backgrounds; and the history and nature of relationship dynamics between the patient and her male partner. We conclude that unmet expectations on the part of both patient and clinicians evoked powerful emotions that altered the woman's previous intention to agree to amniocentesis

Amniocentesis · Biology · Pregnancy · Prenatal diagnosis · Ethics and Legal Issues in Pediatric Healthcare · Patient Dignity and Privacy · Psychology · Social Psychology · Vaccine Coverage and Hesitancy

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Unique citing works1
Citations per year0,06
Citation span2009 - 2009 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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