Self-care questions in Japanese OBGYN practices.

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    • Abstract:
      This study examines how the therapeutic alliance is formed in self-care discussions in Japanese OBGYN consultations. While the importance of self-care has been emphasized in the context of chronic care, the patient's stance toward self-care has yet to be explored in non-chronic conditions. In this paper, I focus on a single element of self-care in Japanese OBGYN consultations: the body temperature chart. Patients presenting for infertility or ovarian disorders are often asked to monitor and maintain records of their morning body temperature. The investigation of how clinicians question, and patients respond to questioning, about the body temperature chart at the beginning of OBGYN visits, reveals distinctive interactional stances towards the therapeutic alliance that evolve over time. The patient's pursuit of care and commitment to self-care are managed as 'moral' dimensions within an evolving therapeutic contract. [ABSTRACT FROM AUTHOR]
    • Abstract:
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