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Cheer* in Health Care Practice: What It Excludes and Why It Matters

机译：欢呼*在医疗保健实践中：它排除了什么以及为什么重要

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摘要

Clinicians' positive demeanor and "strengths based" focus can include working to create a cheerful atmosphere in health care environments, cheering for improvements in assessment outcomes, and cheering up clients in situations of decline. Drawing from philosopher Karen Barad's theories of inclusions and exclusions, we investigated what comes to matter (and what is excluded from mattering) when there is cheerfulness, cheering, and so forth (cheer*) in the day-to-day practices of a neuromuscular clinic. We worked collaboratively with clinicians, young people with Duchenne muscular dystrophy, and their families to co-examine the clinic in three iterative exploratory method spaces: (a) group "dialogues" with clinicians; (b) consultative interviews with children, families, and clinicians; and (c) transdisciplinary research team analysis sessions. Cheer* made some things matter in the clinic ("normal" physical function, "positive" emotions, test scores, compliance); and excluded others (grief and loss, "non-normative" bodies and lives, alternative practices, embodied knowledge). We discuss implications across health care settings.
机译：临床医生的积极态度和“基于优势”的关注点可以包括努力在医疗环境中创造愉快的氛围，为评估结果的改善而欢呼，以及在下降的情况下为客户欢呼。根据哲学家卡伦·巴拉德关于包容和排斥的理论，我们研究了在神经肌肉诊所的日常实践中，当有快乐、欢呼等（欢呼*）时，什么才是重要的（以及什么被排除在重要之外）。我们与临床医生、患有杜氏肌营养不良症的年轻人及其家人合作，在三个迭代探索方法空间中共同检查该诊所：（a）与临床医生进行小组“对话”；（b） 与儿童、家庭和临床医生进行咨询性访谈；以及（c）跨学科研究团队分析会议。Chee*让一些事情在临床上变得重要（“正常的”身体功能、“积极的”情绪、测试分数、依从性）；并排斥其他人（悲伤和失落、“非规范”身体和生命、替代实践、具体知识）。我们讨论了医疗环境的影响。

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