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Abstract

The aim of this study is to investigate the type of speech acts that Lebanese adolescents mostly use when talking about their experience with cancer. Generally, it is hard for people who have cancer to talk about their painful experience. More importantly, the whole experience could influence one’s choice of speech acts as well. Hence, the study attempts to identify speech acts in Lebanese adolescents' interview transcripts to further investigate how the illness experience could shape their choice of speech acts. The study uses a mixed model since it implements both the qualitative and quantitative method. Content analysis is implemented to identify speech acts in the interview
transcripts based on Searle's (1969) and Yule's (1996) speech act theories. Quantitative analysis is implemented to account for the frequency of speech acts in the interview transcripts. The findings indicate that Lebanese adolescents mostly use expressive speech acts when talking about their experience with cancer. Expressive speech acts form 62% of the total percentage of speech acts in interview transcripts, followed by 38% of representative speech acts that are provided to convey facts or information.
Regarding their attitude towards physicians,
Lebanese adolescents tend to implement representative speech acts at 75% compared to 25% of speech act usage of expressives.
The findings indicate the emotional involvement that Lebanese adolescents feel when depicting the hard moments they experience, the feelings of loss, and loneliness, as well the gratitude they express towards their supporting families. However, when expressing their attitude towards their physicians, emotional detachment prevails as adolescents use more representatives to provide information or facts about how physicians approach them. The present study could be further developed to investigate the attitudes of a larger sample of adolescents suffering from cancer as well as identifying the types of speech acts they use when talking about their experience with cancer. It could also lead to future suggestions and solutions that physicians could benefit from to enhance their relationship with their adolescent cancer patients and provide more support by implementing more expressive speech acts.

Keywords

Speech Acts Lebanese adolescents Cancer illness

Article Details

References

  1. Arnett, J. (2015). Emerging adulthood. (2nd ed). Oxford.
  2. Brinkman, W.B., Geraghty, S.R., Lanphear, B.P., Khoury, J.C., Gonzalez del Rey, J.A., DeWitt, T.G. & Britto, M.T. (2006). Evaluation of resident communication skills and professionalism: A matter of perspective? Pediatrics, 118, 1371–1379.
  3. Fernandez, C.V., Gao, J., Strahlendorf, C., Moghrabi, A., Pentz, R.D., Barfield, R.C., Baker, J.N., Santor, D., Weijer, C. & Kodish, E. (2009). Providing research results to participants: Attitudes and needs of adolescents and parents of children with cancer. J Clin Oncol. 27, 878–883.
  4. Freyer, D.R. (2010). Transition of care for young adult survivors of childhood and adolescent cancer: Rationale and approaches. J Clin Oncol. 28, 4810–4818.
  5. Downs, J.S. & Fischhoff, B. (2009). Theories and models of adolescent decision making. In DiClemente, R.J., Santelli, J.S. & Crosby, R.A. (Eds.), Adolescent health: Understanding and preventing risk behaviors. San Francisco: Jossey-Bass. pp. 77-90.
  6. Grinyer, A. (2004). Young adults with cancer: parents’ interactions with health care professionals. European Journal of Cancer Care, 13(1), 88-95.
  7. Lakkis, N.A., Adib, S.M., Osman, M.H., Musharafieh, U.M., Hamadeh, G.N., et al. (2010). Breast cancer in Lebanon: incidence and comparison to regional and Western countries. Cancer epidemiology, 34(3), 221-225.
  8. Nathan, P.C., Hayes-Lattin, B., Sisler, J.J. & Hudson, M.M. (2011). Critical issues in transition and survivorship for adolescents and young adults with cancers. Cancer. 117(10 Suppl), 2335–2341.
  9. O'Hara, C. & Moran, A. (2012). TYA National Cancer Intelligence Advisory Group. Survival in teenagers and young adults with cancer in the UK. London: National Cancer Intelligence Network.
  10. Searle, John. (1969). Speech acts. Cambridge.
  11. Siembida, E.J., Bellizzi, K.M. (2015). The doctor–patient relationship in the adolescent cancer setting: A developmentally focused literature review. J Adolesc Young Adult Oncol. 4, 108–117.
  12. Trevino, K.M., Prigerson, H.G. (2014). Effect of communication training on patient, family and healthcare provider outcomes: Missing links. Evid Based Med. 19:158.
  13. Yule, G. (1996). Pragmatics. Oxford.
  14. Zebrack, B. & Isaacson, S. (2012). Psychosocial care of adolescent and young adult patients with cancer and survivors. Journal of Clinical Oncology. 30(11): 1221-1226.