{"id":757,"date":"2025-04-17T23:58:08","date_gmt":"2025-04-17T23:58:08","guid":{"rendered":"https:\/\/pragmaticpoint.org\/?post_type=citation-bank-post&#038;p=757"},"modified":"2025-04-18T00:17:35","modified_gmt":"2025-04-18T00:17:35","slug":"negotiating-patients-therapy-proposals-in-paternalistic-and-humanistic-clinics","status":"publish","type":"citation-bank-post","link":"https:\/\/pragmaticpoint.org\/?citation-bank-post=negotiating-patients-therapy-proposals-in-paternalistic-and-humanistic-clinics","title":{"rendered":"Negotiating patients\u2019 therapy proposals in paternalistic and humanistic clinics"},"content":{"rendered":"\n<p>Akin Odebunmi University of Ibadan<\/p>\n\n\n\n<p>The negotiation of patients\u2019 therapy proposals often makes a strong statement about doctors\u2019 consultative styles in Nigerian clinical encounters. This invites a search into the relationship between patients\u2019 preferred treatment options and doctors\u2019 and patients\u2019 approaches to negotiating them. Analysis reveals the sequential and face orientation mechanisms deployed in negotiating patients\u2019 proposals in predominantly doctor-centred clinics, the interactional moves made by them in negotiating the proposals in pre dominantly patient-centred clinics, and the pragmatic implications of the proposals negotiated in both clinics. The negotiations in the clinics are anchored to strategic rapport building, the colonization of patients\u2019 life world and constrained joint decisions. Rapport is poorly built in the doctor centered clinic with power-imbued strategies which stifle patients\u2019 voice and lead to completely-constrained joint decisions on therapy proposals by patients. Participatory consultation enhances negotiation in the patient centered clinic, but the physician\u2019s misleading strategic sequences and exaggerated emotions somewhat weaken the ultimate consultative outcome.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Akin Odebunmi University of Ibadan The negotiation of patients\u2019 therapy proposals often makes a strong statement about doctors\u2019 consultative styles in Nigerian clinical encounters. This invites a search into the [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"template":"","meta":{"_acf_changed":true,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false},"class_list":["post-757","citation-bank-post","type-citation-bank-post","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/pragmaticpoint.org\/index.php?rest_route=\/wp\/v2\/citation-bank-post\/757","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pragmaticpoint.org\/index.php?rest_route=\/wp\/v2\/citation-bank-post"}],"about":[{"href":"https:\/\/pragmaticpoint.org\/index.php?rest_route=\/wp\/v2\/types\/citation-bank-post"}],"author":[{"embeddable":true,"href":"https:\/\/pragmaticpoint.org\/index.php?rest_route=\/wp\/v2\/users\/3"}],"wp:attachment":[{"href":"https:\/\/pragmaticpoint.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=757"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}