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Qualitative Health Research
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Patient Hope: Exploring the Interactions between Physicians and HIV Seropositive Individuals

Gina Wong-Wylie

Department of Human Ecology at the University of Alberta

Ronna F. Jevne

Counselling Psychology Division of the Department of Educational Psychology at the University of Alberta

This study investigated interactions between physicians and HIV seropositive persons that enhance or diminish patient hope. Twenty-two critical incident accounts and interview transcripts were obtained from 6 HIV seropositive and 2 AIDS-diagnosed individuals. The data were analyzed for components within patient/doctor interactions that influence patient hope, whereby either hope-enhancing (hope-full) or hope-diminishing (hopeless) interactions were identified. A central theme emerged in which the valence of the patients' perceived relationship with the doctor was salient to the hope-potential of each interaction. Five critical requirements contributing to a hope-full versus a hope-less interaction were identified. Categories consisted of paired factors at opposing valences: (a) being known as human/being known as a case, (b) connecting/disconnecting, (c) descriptive/prescriptive, (d) welcoming/dismissing, and (e) informing/poorly informing. This study gives rise to the need for further investigation into the patient/doctor relationship as it pertains to patient hope.

Qualitative Health Research, Vol. 7, No. 1, 32-56 (1997)
DOI: 10.1177/104973239700700103
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