Il dialogo medico nelle interazioni pediatriche. Azioni comunicative per promuovere la partecipazione attiva e l'approccio centrato sul paziente.

Doctor-patient interaction within pediatric contexts doesn’t seem to have been enough analysed at a national level yet. At the same time, medical dialogue in interactions with no linguistic- cultural mediation has been examined mostly from a theoretical point of view. This article combines dialogue studies and a patient-centered approach with a theory of social systems, which observes the pediatric consultation as a system of interactions guided by a specific form of communication. Data analysis shows in which ways medical dialogue can be accomplished with migrant patients and parents, in not-mediated pediatric interactions and at the initial stage of the consultation. During problem presentation, pediatricians use open questions, closed questions to clarify, echoes, and formulations as recurring dialogic actions, with interesting effects especially for parent’s active participation and self-expression.