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Communication Work About Chronic Unexplained Pain.

Elizabeth A Hintz1, Katie D Scott2

  • 1Department of Communication, University of South Florida.

Health Communication
|February 25, 2020
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Summary
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This study examines communication work in patient-provider interactions for vulvodynia, a chronic genital pain condition. It highlights how communication strategies shift due to diagnostic ambiguity and stigma.

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Area of Science:

  • Medical Sociology
  • Communication Studies
  • Patient Experience Research

Background:

  • Vulvodynia is a poorly understood chronic genital pain condition.
  • Patient-provider communication is crucial for diagnosis and management.
  • Stigma surrounding genital pain can complicate healthcare interactions.

Purpose of the Study:

  • To explicate types of communicative work patients with vulvodynia undertake during pre-diagnosis interactions.
  • To extend the concept of "communication work" within a stigmatized and ambiguous health context.
  • To illustrate how diagnostic ambiguity shifts patient-provider communication.

Main Methods:

  • Qualitative analysis of patient-provider interactions.
  • Application of Donovan's "communication as work" conceptualization.
  • Patient-as-scholar narrative approach.

Main Results:

  • Patients engage in significant "communicative work" to articulate their experiences.
  • The ambiguous nature of vulvodynia necessitates adaptive communication strategies.
  • Stigma influences the way patients discuss their symptoms and seek care.

Conclusions:

  • The concept of "communication work" provides valuable insights into navigating undiagnosed, stigmatized conditions.
  • Understanding these communicative challenges can inform better patient-provider interactions.
  • Further research is needed to address the communication barriers in vulvodynia care.