Language and gender: mainstreaming and the persistence of patriarchy
April 2020
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Journal article
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International Journal of the Sociology of Language
Physical examinations via video? Qualitative study of video examinations in heart failure, using conversation analysis
February 2020
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Journal article
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Journal of Medical Internet Research
<p><strong>Background:</strong> Video consultations are increasingly seen as a possible replacement for face-to-face consultations. Direct physical examination of the patient is impossible; however, a limited examination may be undertaken via video (eg, using visual signals or asking a patient to press their lower legs and assess fluid retention). Little is currently known about what such video examinations involve.</p>
<p><strong>Objective:</strong>This study aimed to explore the opportunities and challenges of remote physical examination of patients with heart failure using video-mediated communication technology.</p>
<p><strong>Methods:</strong> We conducted a microanalysis of video examinations using conversation analysis (CA), an established approach for studying the details of communication and interaction. In all, seven video consultations (using FaceTime) between patients with heart failure and their community-based specialist nurses were video recorded with consent. We used CA to identify the challenges of remote physical examination over video and the verbal and nonverbal communication strategies used to address them.</p>
<p><strong>Results:</strong> Apart from a general visual overview, remote physical examination in patients with heart failure was restricted to assessing fluid retention (by the patient or relative feeling for leg edema), blood pressure with pulse rate and rhythm (using a self-inflating blood pressure monitor incorporating an irregular heartbeat indicator and put on by the patient or relative), and oxygen saturation (using a finger clip device). In all seven cases, one or more of these examinations were accomplished via video, generating accurate biometric data for assessment by the clinician. However, video examinations proved challenging for all involved. Participants (patients, clinicians, and, sometimes, relatives) needed to collaboratively negotiate three recurrent challenges: (1) adequate design of instructions to guide video examinations (with nurses required to explain tasks using lay language and to check instructions were followed), (2) accommodation of the patient’s desire for autonomy (on the part of nurses and relatives) in light of opportunities for involvement in their own physical assessment, and (3) doing the physical examination while simultaneously making it visible to the nurse (with patients and relatives needing adequate technological knowledge to operate a device and make the examination visible to the nurse as well as basic biomedical knowledge to follow nurses’ instructions). Nurses remained responsible for making a clinical judgment of the adequacy of the examination and the trustworthiness of the data. In sum, despite significant challenges, selected participants in heart failure consultations managed to successfully complete video examinations.</p>
<p><strong>Conclusions:</strong> Video examinations are possible in the context of heart failure services. However, they are limited, time consuming, and challenging for all involved. Guidance and training are needed to support rollout of this new service model, along with research to understand if the challenges identified are relevant to different patients and conditions and how they can be successfully negotiated.</p>
Physical examinations via video? Qualitative study of video examinations in heart failure, using conversation analysis (Preprint)
February 2020
|
Journal article
<sec>
<title>BACKGROUND</title>
<p>Video consultations are increasingly seen as a possible replacement for face-to-face consultations. Direct physical examination of the patient is impossible, but a limited examination may be undertaken via video (e.g. using visual signals, or asking a patient to press their lower legs and assess fluid retention). Little is currently known about what such video examinations involve.</p>
</sec>
<sec>
<title>OBJECTIVE</title>
<p>To explore the opportunities and challenges of remote physical examination with patients with heart failure using video-mediated communication technology.</p>
</sec>
<sec>
<title>METHODS</title>
<p>Seven video consultations (using FaceTime) between patients with heart failure and their community-based specialist nurses were video-recorded with consent. We used conversation analysis to identify the challenges of remote physical examination over video and the verbal and non-verbal communication strategies used to address them.</p>
</sec>
<sec>
<title>RESULTS</title>
<p>Apart from a general visual overview, remote physical examination in heart failure patients was restricted to assessing fluid retention (by the patient or relative feeling for leg oedema), blood pressure and pulse rate and rhythm (using a self-inflating blood pressure monitor incorporating an irregular heart beat indicator, and put on by the patient or relative-) and oxygen saturation (using a finger clip device). In all seven cases, one or more of these examinations were accomplished via video, generating accurate biometric data for assessment by the clinician. However, video examinations proved challenging for all involved. Participants (patients, clinicians and, sometimes, relatives) needed to collaboratively negotiate three recurrent challenges: (i) adequate design of instructions to guide video examinations (with nurses required to explain tasks using lay language, and checking instructions were followed); (ii) accommodation of the patient’s desire for autonomy (on the part of nurses and relatives) in light of opportunities for involvement in their own physical assessment; and (iii) doing the physical examination while simultaneously making it visible to the nurse (with patients and relatives needing adequate technological knowledge in order to operate a device and make the examination visible to the nurse, as well as basic biomedical knowledge to follow nurses’ instructions). Nurses remained responsible for making a clinical judgment of the adequacy of the examination and the trustworthiness of the data. In sum, despite significant challenges, selected participants in heart failure consultations managed to successfully complete video examinations.</p>
</sec>
<sec>
<title>CONCLUSIONS</title>
<p>Video examinations are possible in the context of heart failure services. However, they are limited, time-consuming and challenging for all involved. Guidance and training are needed to support roll out of this new service model, along with research to understand if the challenges identified are relevant to different patients and conditions and how they can be successfully negotiated.</p>
</sec>
Constructing women's 'different voice': Gendered mediation in the 2015 UK General Election
January 2020
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Journal article
|
Journal of Language and Politics
Do Men and Women Talk Differently?
July 2019
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Chapter
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The Five Minute Linguist 3rd edn
Feminism A Brief Introduction to the Ideas, Debates, and Politics of the Movement
January 2019
|
Book
Broad in scope but refreshingly concise, this book is perfect for anyone who needs a straightforward primer on the complex history of feminism, a nuanced explanation of key issues and debates, or strategic thinking about the questions ...
History
Technology-Enhanced Consultations in Diabetes, Cancer, and Heart Failure: Protocol for the Qualitative Analysis of Remote Consultations (QuARC) Project (Preprint)
July 2018
|
Journal article
<sec>
<title>BACKGROUND</title>
<p>Remote videoconsulting is promoted by policy makers as a way of delivering health care efficiently to an aging population with rising rates of chronic illness. As a radically new service model, it brings operational and interactional challenges in using digital technologies. In-depth research on this dynamic is needed before remote consultations are introduced more widely.</p>
</sec>
<sec>
<title>OBJECTIVE</title>
<p>The objective of this study will be to identify and analyze the communication strategies through which remote consultations are accomplished and to guide patients and clinicians to improve the communicative quality of remote consultations.</p>
</sec>
<sec>
<title>METHODS</title>
<p>In previous research, we collected and analyzed two separate datasets of remote consultations in a National Institute for Health Research–funded study of clinics in East London using Skype and a Wellcome Trust–funded study of specialist community heart failure teams in Oxford using Skype or FaceTime. The Qualitative Analysis of Remote Consultations (QuARC) study will combine datasets and undertake detailed interactional microanalysis of up to 40 remote consultations undertaken by senior and junior doctors and nurse specialists, including consultations with adults with diabetes, women who have diabetes during pregnancy, people consulting for postoperative cancer surgery and community-based patients having routine heart failure reviews along with up to 25 comparable face-to-face consultations. Drawing on established techniques (eg, conversation analysis), analysis will examine the contextual features in remote consultations (eg, restricted visual field) combined with close analysis of different modes of communication (eg, speech, gesture, and gaze).</p>
</sec>
<sec>
<title>RESULTS</title>
<p>Our findings will address the current gap in knowledge about how technology shapes the fine detail of communication in remote consultations. Alongside academic outputs, findings will inform the coproduction of information and guidance about communication strategies to support successful remote consultations.</p>
</sec>
<sec>
<title>CONCLUSIONS</title>
<p>Identifying the communication strategies through which remote consultations are accomplished and producing guidance for patients and clinicians about how to use this kind of technology successfully in consultations is an important and timely goal because roll out of remote consultations is planned across the National Health Service.</p>
</sec>
<sec>
<title>REGISTERED REPORT IDENTIFIER</title>
<p>RR1-10.2196/10913</p>
</sec>
Technology-Enhanced Consultations in Diabetes, Cancer, and Heart Failure: Protocol for the Qualitative Analysis of Remote Consultations (QuARC) Project.
July 2018
|
Journal article
|
JMIR Res Protoc
BACKGROUND: Remote videoconsulting is promoted by policy makers as a way of delivering health care efficiently to an aging population with rising rates of chronic illness. As a radically new service model, it brings operational and interactional challenges in using digital technologies. In-depth research on this dynamic is needed before remote consultations are introduced more widely. OBJECTIVE: The objective of this study will be to identify and analyze the communication strategies through which remote consultations are accomplished and to guide patients and clinicians to improve the communicative quality of remote consultations. METHODS: In previous research, we collected and analyzed two separate datasets of remote consultations in a National Institute for Health Research-funded study of clinics in East London using Skype and a Wellcome Trust-funded study of specialist community heart failure teams in Oxford using Skype or FaceTime. The Qualitative Analysis of Remote Consultations (QuARC) study will combine datasets and undertake detailed interactional microanalysis of up to 40 remote consultations undertaken by senior and junior doctors and nurse specialists, including consultations with adults with diabetes, women who have diabetes during pregnancy, people consulting for postoperative cancer surgery and community-based patients having routine heart failure reviews along with up to 25 comparable face-to-face consultations. Drawing on established techniques (eg, conversation analysis), analysis will examine the contextual features in remote consultations (eg, restricted visual field) combined with close analysis of different modes of communication (eg, speech, gesture, and gaze). RESULTS: Our findings will address the current gap in knowledge about how technology shapes the fine detail of communication in remote consultations. Alongside academic outputs, findings will inform the coproduction of information and guidance about communication strategies to support successful remote consultations. CONCLUSIONS: Identifying the communication strategies through which remote consultations are accomplished and producing guidance for patients and clinicians about how to use this kind of technology successfully in consultations is an important and timely goal because roll out of remote consultations is planned across the National Health Service. REGISTERED REPORT IDENTIFIER: RR1-10.2196/10913.
'Feminism' wrote Marie Shear in 1986, 'is the radical notion that women are people'. But, simple and powerful though this definition is, feminism is not a single, clear narrative.
Socialism, multilingualism and language policy
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Key Words: A Journal of Cultural Materialism
Gender, Power and Political Speech
March 2016
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Book
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presents an analysis of the linguistic behaviour of the party leaders who took part
in the two televised debates that were central events in the GE2015 campaign.
Language Arts & Disciplines
Language, creativity and the politics of value
January 2016
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Chapter
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The Politics of Language and Creativity in a Globalized World
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Australian Feminist Studies
Language
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Chapter
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Critical Terms for the Study of Gender
The sixth in the series of “Critical Terms” books, this volume provides an indispensable introduction to the study of gender through an exploration of key terms that are a part of everyday discourse in this vital subject.
Social Science
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June 2014
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Gender and Language
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The Handbook of Language, Gender, and Sexuality
Significantly expanded and updated, the second edition of The Handbook of Language, Gender and Sexuality brings together a team of the leading specialists in the field to create a comprehensive overview of key historical themes and issues, ...
Language Arts & Disciplines
Working with Written Discourse
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In an accessible style, Working with Written Discourse illustrates how these texts can be analyzed employing a wide variety of approaches that are critical, multidisciplinary, and productive.
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Critical Multilingualism Studies
On Language and Sexual Politics
December 2012
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This collection of articles presents a selection of Deborah Cameron’s work on language, gender and sex in one single volume.
Language Arts & Disciplines
Verbal Hygiene
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Book
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Journal article
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Language and Literature
How may I help you? Questions, control and cutomer care in telephone call centre talk
January 2010
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Chapter
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Why Do You Ask? The Functions of Questions in Institutional Discourse
Sex/gender, language and the new biologism
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Applied Linguistics
The Trouble and Strife Reader
January 2010
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Book
Language, Gender and Sexuality
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Chapter
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The Routledge Companion to English Language
The Virtues of Good Prose: Verbal Hygiene and the Movement
January 2009
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Chapter
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The Movement Reconsidered: Essays on Larkin, Amis, Gunn and their Contemporaries
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Gender and Spoken Interaction
Issues of Gender in Modern English
January 2008
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Chapter
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Blackwell Companion to the History of the English Language
The Myth of Mars and Venus: Do men and women really speak different languages?
October 2007
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Book
In this wide-ranging and thoroughly readable book, Deborah Cameron, Rupert Murdoch Professor of Language and Communication at Oxford University and author of a number of leading texts in the field of language and gender studies, draws on ...
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August 2006
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Book
The Language and Sexuality Reader is the first of its kind to bring together material from the fields of anthropology, communication studies, linguistics, medicine and psychology in an examination of the role of sexuality in written and ...
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Keynote Talk
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Conference paper
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September 2003
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Book
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Architecture
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This lively and accessible textbook provides a clear introduction to the relationship between language and sexuality.
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Globalization and Language Teaching
January 2002
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This book considers the issues globalization raises for second language learning and teaching in an economy where the linguistic skills of workers is becoming increasingly important.
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Working with Spoken Discourse
May 2001
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Good to Talk? Living and Working in a Communication Culture
May 2000
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The Feminist Critique of Language A Reader
January 1998
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This edition has been thoroughly updated to take into account new developments in feminist thought about language, including sexist language and political correctness, and gender and language on the internet.
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January 1992
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January 1987
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The Lust to Kill A Feminist Investigation of Sexual Murder
January 1987
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Criminal psychology.
Banter, male bonding and the language of Donald Trump
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Language in the Trump Era
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Australian Feminist Studies
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Gender and Authority
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Innovations and Challenges: Women, Language and Sexism