By Maha Alayyash, Assistant Professor, English Department, Jeddah University
The Saudi society is based on strong family ties rather than patient autonomy (Aljubran, 2010). Therefore, the disclosure of cancer diagnosis is still related to the misconception of incurability (Khalil, 2013). To facilitate the misconception of cancer as a life-threatening illness, physicians tend to disclose cancer diagnosis to chaperones and conceal from, or even modify the unfavourable information given to the patients. Some patients have no right to know the reality of their illness nor to report on their illness. In short, epistemic asymmetry is conceptualised here as violating knowledge norms including the patient’s epistemic primacy (i.e. right to know) (Heritage, 2013). Therefore, the aim of this paper is to describe the epistemic resources that are used by the oncologist and chaperone to share epistemic access regarding the patient’s illness. Thus, this study attempts to answer the following research question:
How do the oncologist and the chaperone share epistemic access regarding the patient’s illness without involving the patient?
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