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July 10, 2026Journal of Evaluation in Clinical Practice

Implicit Bias and Microaggressions in the Care of People With Prolonged Disorders of Consciousness: Bridging Medicine, Disability Studies, and Family Advocacy

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Authors

MTMasako TokuniKTKazuhiro Tamura

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Overview

This qualitative study explores how implicit biases may affect caregiver input in prolonged disorders of consciousness care, suggesting improved communication can enhance diagnostics.

Key Points

  • The study aims to investigate the effects of implicit bias and microaggressions on the interpretation of caregiver observations for individuals with prolonged disorders of consciousness.
  • Conducted semi-structured interviews with seven family caregivers of individuals with PDOC in Japan.
  • Employed thematic analysis to evaluate caregivers' experiences of communication with healthcare professionals.
  • Developed a Context-Dependent Diagnostic Sensitivity Model to frame the findings.
  • Caregivers reported their observations were often minimized or dismissed by healthcare professionals, affecting clinical assessments.
  • Interactions marked by subtle biases impacted the inclusion of caregiver insights in decision-making processes.
  • The study underscores the need to recognize microaggressions that may hinder effective communication between caregivers and medical staff.

Cite This Study

Tokuni et al. (2026) studied this question.

synapsesocial.com/papers/6a508da76eeac72a437a10d2https://doi.org/10.1111/jep.70529
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Balancing organisational frameworks and the human experience when working with patients in prolonged disorder of consciousness in Switzerland: a reflexive thematic analysis2026
  2. 2How do families of relatives with prolonged disorders of consciousness experience care decision-making? A systematic review and thematic synthesis of qualitative research2026
  3. 3Toward Accessible and Multimodal Diagnosis of Disorders of Consciousness: Integrating Clinical and Autonomic Markers2026
  4. 4Depression of Family Caregivers of Patients With Disorders of Consciousness: A Systematic Review2025
  5. 5Disorders of consciousness in the ICU: gaps in establishing and communicating the prognosis2026 · 1 citations