The purpose of this study was to examine the effects of task oriented conflict of inter-sub-groups on pooling of unshared information and information exchange between members, on cognition of information, and on perception in group decision making. The subjects were 30 female nursing school students. They discussed the flictious selection of a sub-chiefnurse in a group consisting of five members. Information about fictitious candidates (candidate A and candidate B) was given to the group members before discussion and consisted of shared information and unshared information. Information were positive, negative and neutral as classfied by preliminary study. In advance one groups were considered of two followers who believed that candidate A was qualified, and the other two who believed that candidate B was qualified (henceforth task-oriented conflict condition) and the other were considered of all four followers who believed that candidate A was qualified. The results were as follows: (1) Unshared information was more conveyed and neutral information was less interpreted and conveyed in task-oriented conflict condition. (2) Followers had more negative evaluations of the leader, the followers, and the discussion in task oriented conflict condition. The results were discussed from the point of view of the nature of task oriented conflict, group goal, and quality of information exchange.

Bass, Nick

Dooley, Jemima

McCabe, Rose

Fuchigami, Katsuyoshi

Okayama University Scientific Achievement Repository

Effects of task oriented conflict of inter-subgroups on information exchange in group decision making

BackgroundDementia diagnosis rates are increasing. Guidelines recommend that people with dementia should be told their diagnosis clearly and honestly to facilitate future planning.AimsTo analyse how doctors deliver a dementia diagnosis in practice.MethodConversation analysis was conducted on 81 video-recorded diagnosis feedback meetings with 20 doctors from nine UK memory clinics.ResultsAll doctors named dementia; 59% (n = 48) approached the diagnosis indirectly but delicately (‘this is dementia’) and 41% (n = 33) approached this directly but bluntly (‘you have Alzheimer's disease’). Direct approaches were used more often with people with lower cognitive test scores. Doctors emphasised that the dementia was mild and tended to downplay its progression, with some avoiding discussing prognosis altogether.ConclusionsDoctors are naming dementia to patients. Direct approaches reflect attempts to ensure clear diagnosis. Downplaying and avoiding prognosis demonstrates concerns about preserving hope but may compromise understanding about and planning for the future.Declaration of interestNone.</jats:sec

Jemima Dooley

Nick Bass

Rose McCabe

Crossref

The British Journal of Psychiatry

How do doctors deliver a diagnosis of dementia in memory clinics?

Background: Dementia diagnosis rates are increasing. Guidelines recommend that people with dementia should be told their diagnosis clearly and honestly to facilitate future planning. Aims: To analyse how doctors deliver a dementia diagnosis in practice. Method Conversation analysis was conducted on 81 video-recorded diagnosis feedback meetings with 20 doctors from nine UK memory clinics. Results: All doctors named dementia; 59% (n = 48) approached the diagnosis indirectly but delicately ('this is dementia') and 41% (n = 33) approached this directly but bluntly ('you have Alzheimer's disease'). Direct approaches were used more often with people with lower cognitive test scores. Doctors emphasised that the dementia was mild and tended to downplay its progression, with some avoiding discussing prognosis altogether. Conclusions: Doctors are naming dementia to patients. Direct approaches reflect attempts to ensure clear diagnosis. Downplaying and avoiding prognosis demonstrates concerns about preserving hope but may compromise understanding about and planning for the future.</p

Explore Bristol Research

Background

Dementia diagnosis rates are increasing. Guidelines recommend that people with dementia should be told their diagnosis clearly and honestly to facilitate future planning.

Aims

To analyse how doctors deliver a dementia diagnosis in practice.

Method

Conversation analysis was conducted on 81 video-recorded diagnosis feedback meetings with 20 doctors from nine UK memory clinics.

Results

All doctors named dementia; 59% (n = 48) approached the diagnosis indirectly but delicately (‘this is dementia’) and 41% (n = 33) approached this directly but bluntly (‘you have Alzheimer's disease’). Direct approaches were used more often with people with lower cognitive test scores. Doctors emphasised that the dementia was mild and tended to downplay its progression, with some avoiding discussing prognosis altogether.

Conclusions

Doctors are naming dementia to patients. Direct approaches reflect attempts to ensure clear diagnosis. Downplaying and avoiding prognosis demonstrates concerns about preserving hope but may compromise understanding about and planning for the future

Dooley, J

Bass, N

McCabe, R

UCL Discovery

This is the author accepted manuscript. The final version is available from the publisher via the DOI in this record.BACKGROUND: Dementia diagnosis rates are increasing. Guidelines recommend that people with dementia should be told their diagnosis clearly and honestly to facilitate future planning. 

AIM: To analyse how doctors deliver a dementia diagnosis in practice. 

METHOD: Conversation analysis was conducted on 81 video-recorded diagnosis feedback meetings with 20 doctors from 9 UK memory clinics.  

RESULTS: All doctors named dementia. Fifty nine per cent approached the diagnosis indirectly but delicately (“this is dementia”) while 41% approached this directly but bluntly (“you have Alzheimer’s disease”). Direct approaches were used more often with people with lower cognitive test scores. Doctors emphasised that the dementia was mild and tended to downplay its progression, with some avoiding discussing prognosis altogether.

CONCLUSIONS: Doctors are naming dementia to patients. Direct approaches reflect attempts to ensure clear diagnosis. Downplaying and avoiding prognosis demonstrate concerns about preserving hope but may compromise understanding about and planning for the future.This paper presents independent research funded by the National Institute for Health Research
(NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number PBPG-1111-26063),
and supported by the NIHR Collaboration for Leadership in Applied Health
Research and Care South West Peninsul

Open Research Exeter

Background

Dementia diagnosis rates are increasing. Guidelines recommend that people with dementia should be told their diagnosis clearly and honestly to facilitate future planning.



Aims

To analyse how doctors deliver a dementia diagnosis in practice.



Method

Conversation analysis was conducted on 81 video-recorded diagnosis feedback meetings with 20 doctors from nine UK memory clinics.



Results

All doctors named dementia; 59% (n = 48) approached the diagnosis indirectly but delicately (‘this is dementia’) and 41% (n = 33) approached this directly but bluntly (‘you have Alzheimer's disease’). Direct approaches were used more often with people with lower cognitive test scores. Doctors emphasised that the dementia was mild and tended to downplay its progression, with some avoiding discussing prognosis altogether.



Conclusions

Doctors are naming dementia to patients. Direct approaches reflect attempts to ensure clear diagnosis. Downplaying and avoiding prognosis demonstrates concerns about preserving hope but may compromise understanding about and planning for the future

Dooley, J.

Bass, N.

McCabe, R.

City Research Online

https://research-information.bris.ac.uk/files/159339740/Dooley_et_al_Diagnosis_Delivery_Paper_BJPsych_SUBMITTED_October_13th.pdf

Effects of task oriented conflict of inter-subgroups on information exchange in group decision making

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