Previous research indicates that social support is beneficial to cancer patients in adjusting to the stress of the disease. Drawing on a qualitative content analysis of 36 semi-structured interviews, this article explores sources and types of social support in Arab-Palestinian women with breast cancer. Results show that members of the immediate family, husbands in particular, are reported to be the most supportive social sources. Given the limitations that characterize access to cancer care in the occupied Palestinian territory (OPT) and the collectivistic values of the society, women with breast cancer seem to rely mainly on their husbands to handle emotional, functional and informational needs. Emotional support includes the provision of care, trust, reassurance, and companionship. Functional support includes the practical assistance that the cancer patients receive in terms of financial support, attendance during treatment or help with domestic chores and childcare. Accessing appropriate informational support can be quite challenging in the OPT since available information is not always reliable. The family plays a key role in mediating communication with doctors. Contact with breast cancer patients and survivors is also a source of supporting information, with however a possible negative impact in terms of emotional coping. In this context, the immediate family becomes a fundamental resource for coping and a relational space that mediates connections with others, including doctors, acting as a “proxy” between the patient and the social environment. Findings are discussed in light of the historical and sociocultural context of the OPT.

Drawing upon the concept of practice, the article explores diagnostic decision making in oncology through the analysis of informal conversations between doctors in an Italian hospital. The analysis shows that doctors rely on three collaborative practices: (a) joint interpretation, (b) intersubjective generation and validation of hypotheses, and (c) postponing the diagnostic decision. Through such practices, doctors jointly handle tough issues such as managing complexity, dealing with cognitive difficulties and limits of knowledge, and avoiding diagnostic errors. The article addresses some lacunae in the literature by providing empirical access to how decision making is done in an understudied and specialized branch of medicine.

Early childhood educational centers (ECEC) are contexts where young children make their first contact with specific, culturally determined rules, practices, and values. Only a few studies have analyzed in-depth the practices through which the educators direct the children’s action and attention while they are performing routine educational activities. By means of detailed transcription of educators-children conversations and Conversation Analytic methodology, this work examines a set of videorecorded interactions collected in one Italian ECE center (“nido”), particularly focusing on the verbal and multimodal resources employed by ECEC teachers as they manage episodes, where the children diverge from an expected course of action. Analyses reveal that the educators employ a variety of multimodal resources to orchestrate the child’s attention and actions toward the desired course of activity, which open spaces where the child’s agency, however more or less strongly reprimanded, is admitted and negotiated.