The management of autonomy in adolescent diabetes
A Case Study of Triadic Medical Interaction
Bibliographic Data
| ID | 4218016 |
|---|---|
| Authors | M Buchbinder (0000-0002-2319-662X, University of California, Los Angeles, corresponding author) |
| Year | 2009 |
| Volume | 13 |
| Issue | 2 |
| Pages | 175-196 |
| Publication date | 2009-03-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL) |
| Journal identifiers | ISSN: 1363-4593 • E-ISSN: 1461-7196 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1363459308099683 |
| PMID | 19228827 |
| OpenAlex | W2042117266 |
| Language | EN |
| Citations received | 5 |
| References cited | 49 |
The transfer of responsibility for diabetes management from parent to child has been seen as a central challenge for the clinical care of adolescents with Type 1 diabetes. Research is needed to better understand how clinicians, patients, and families handle the delicate balance between parental involvement and adolescent responsibility for diabetes management. The aim of this study is to investigate the interactional processes by which an adolescent's autonomy is facilitated and constrained in a clinical interaction between a nurse practitioner (NP), a 13-year-old diabetes patient, and the patient's mother. Integrating psychological perspectives on adolescent autonomy and responsibility with conversation analytic approaches to participation, I examine participation frameworks and shifting alignments to illuminate the negotiation of adolescent autonomy within a single clinical encounter. The analysis demonstrates that the patient's autonomy is emphasized while identifying problems, yet restricted when considering solutions. Clinical implications are discussed
Autonomy · Conversation · Conversation analysis · Developmental psychology · Diabetes management · Diabetes mellitus · Negotiation · Political science · Sociology · Type 2 diabetes · Counseling, Therapy, and Family Dynamics · Family and Disability Support Research · Family Support in Illness · Medicine · Psychology
Between Discipline and Empowerment
Facilitators and Barriers to Shared Decision-Making Communication Between Latina Mothers and Pediatric Mental Healthcare Providers
Facing ignorance
Calibrating logics
Repertoires of responsibility for diabetes management by adults with intellectual disabilities and those who support them
Communication and Medical Practice
Accounting for the visit
Laughter as a patient's resource
Case Study Research
Frame analysis
The Birth of the Clinic
Doctor–parent–child communication. A (re)view of the literature
Negotiating Who Presents the Problem
Conversation Analysis and the Professional Stocks of Interactional Knowledge
Organizing Participation in Interaction
Interactive Frames and Knowledge Schemas in Interaction
It takes three to tango
Pediatrician-patient-parent communications
Adolescents' Health
Client-centred practice
A Simplest Systematics for the Organization of Turn-Taking for Conversation
Accounting practices in medical interviews
When the Doctor Is a 'Lady
The American Dependency Conflict
A Cross-Cultural Approach to Adolescence
Getting Down to Business Talk, Gaze, and Body Orientation During Openings of Doctor-Patient Consultations
| Citations per year | 0.36 |
|---|---|
| Citation span | 2012 - 2025 (14) |
| Highly cited | No |