Parallel vigilance
Parents' dual focus following diagnosis of Type 1 diabetes mellitus in their young child
Bibliographic Data
| ID | 4987730 |
|---|---|
| Authors | Selaine Niedel (London School of Hygiene and Tropical Medicine, UK), Michael Traynor (0000-0002-1113-5520, Middlesex University), Martin Mckee (0000-0002-0121-9683, London School of Hygiene and Tropical Medicine, UK), Margaret Grey (0000-0003-2473-8088, Yale University) |
| Year | 2013 |
| Volume | 17 |
| Issue | 3 |
| Pages | 246-265 |
| Publication date | 2013-05-01 |
| Peer Reviewed | Yes |
| 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 | 10.1177/1363459312451180 |
| PMID | 22801876 |
| OpenAlex | W2112156253 |
| Language | EN |
| Citations received | 1 |
| References cited | 47 |
There is consensus that enabling patient self-care and expertise leads to better management of chronic illness. Clinicians are being encouraged to manage clinical encounters in ways that promote these outcomes rather than perpetuate hierarchical relationships. This article describes one part of a larger study of 55 outpatient consultations conducted within 14 months of the diagnosis of Type 1 diabetes mellitus in young children. Participants were parents and the specialist doctors, nurses, dieticians and social workers who oversee the child's secondary care. Consultations were audio-recorded and transcribed. Our analysis draws on aspects of conversation analysis (CA) to investigate how parents' talk enacts a growing confidence in the management of their child's disease in the face of questioning from professionals. Analysis reveals how this talk distinguishes a duality of focus that combines the normal watchfulness exhibited by all parents as they protect their children, with an additional intense, parallel watchfulness for signs of potentially serious manifestations of diabetes. We term this phenomenon parallel vigilance and illustrate its development using five representative extracts from consultations. The concept of parallel vigilance extends the chronic illness literature and informs our understanding of a process that contributes to parents' developing expertise and provides new and important insights into the way in which parents conceptualize and implement their evolving role in the care of their child. Moreover, parallel vigilance serves as an enabler of parental contributions to the specialist consultation
Conversation · Developmental psychology · Dieticians · Counseling, Therapy, and Family Dynamics · Family and Disability Support Research · Language Development and Disorders · Medicine · Nursing · Psychology
Sociocultural dimensions of language use
Presenting the Problem in Pediatric Encounters
Parent Resistance to Physicians' Treatment Recommendations
Studies in ethnomethodology
Talk at work
Caring for people with chronic conditions
Knowing as practice
Discourse, Expertise, and the Management of Risk in Health Care Settings
Taking Risks
Agency and Authority
Zones of Expertise and the Management of Uncertainty in Genetics Risk Communication
Doing Attributions in Medical Interaction
Non-antibiotic treatment recommendations
Chronic illness, expert patients and care transition
Chronic illness as biographical disruption
Belief, knowledge and expertise
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,33 |
| Citation span | 2023 - 2023 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |