[An analysis of the discourse between the health team and the patient]

The present analysis considers an institutional's ideology as possible supporter of the discoursive form existing between the members of the health team and patients. It reveals discoursive parts of the members from the medical and nurse team and the oncology patients interned, in differents interactional situations. It was observed that: the staff is the one who decides if the patient is to be include or not in the conversation, independently of his physical presence; there is assymetry in this relationship; there is "turning-off" of the patient. It is concluded that the institutional power existent maintain discoursive form observed and it difficults the changes in the interactional-relationship between these elements.