Feeling Rule Management and Relational Authority: Fostering patient compliance in palliative care consultations
通过观察姑息治疗咨询,发现专业人员通过纠正患者的情感规则(如恐惧治愈、希望缓解痛苦、对延长痛苦感到内疚)来促进患者依从,并指出权威部分依赖于管理更广泛的情感规则而非个体情绪。
Once conferred by jurisdictions, hierarchies, or credentials, professional authority is now considered relational and probabilistic, drawing attention to actions that professionals can take to encourage client compliance. In this paper, we use ethnographic observations of palliative care consultations to show that professionals suggest feeling rules that correct patients’ lay understandings and in doing so facilitate compliance. Palliative care professionals suggested three corrective feeling rules that validate patients’ emotions and reattribute them to circumstances aligned with professionals’ expert recommendations for care: that patients should fear curative treatment, that patients should hope for pain relief, and that patients and family members should feel guilty for prolonging misery. We argue that authority depends, in part, on professionals’ ability to manage broader feeling rules instead of individual emotions. Given that feeling rule management involves altering meanings of what is considered appropriate, we contend that professionals’ symbolic power and emotional capital underpin their authority in the professional–client encounter.