Você está na página 1de 13

  

!!
 < 
35-17!!
 <  )/)'7521-'
29)5(-11():23)51-'86()%6 ))'21%3)56!2'-21)7
#/5-',528)67%&&)/!! 335)'-%7-9)148)5;200216
2851%/6)).!'-3-2
!

             


 

  
 

"
"

!!



26702()513)1-1+6
 $2/80)  668)  %5', 33  
",)21/-1)9)56-212*7,-6%57-'/)'%1&)*281(%7
,773326702()5123)1-1+6'20

8&/-6,)(&;
80)18&/-6,-1+286)
1&),%/*2*
80)1 )6)%5',)17)5-1!2'-%/%1(80%1-67-'!'-)1')6

" #$&(&'*"!&&($!" !! $!


$! "
(

 " #$&(&'* "!& &($ !


" !! $!
$!   

"

(   


 

%&$&
 #') % & " '%'"! & ' &! &(##"%' ! % "
&(%! ! '% !,  #'!'& "%  (!' ' %& " !'"'& ! '
)"# !'" "%! '!""&!)&''"!!"&&!'%' !'!
'& ' #')% *&",%"!-&   "(& "! '
#&," "'"!!&#%'(&#'&*'"('!'!"*)%'#,&&#'&
"% (%'%)"('"!% "! "(!'%, &&
'!&(%!&,&' &!" !! %! % &"!'& 
#%!#"&"%',&'"%,"''*"#')%&,&' &&"&&'%' !
'&"!'+'* #%"#"& " #%')&'(,'"!','%!&!& %'&
'*!'&,&' &"#')%!''*""(!'%& %'! )('"!%'%
*%&'"%'&#(%#"& !"%% '"!&(%" #+##%" "% '&',#"
&%)  ) (& ' '"& " &'(, "( !''"! ! %' "&%)'"!

& )9 A@DE5@4E@C2= C6D62C496C .?:G6CD:EJ @7 &65:4:?6 2?5 )92C>24J


>2:= 6>27:CDEJ29@@
4@>E6=
  
 & )9 A@DE5@4E@C2= C6D62C496C .?:G6CD:EJ @7 &65:4:?6 2?5 )92C>24J
 & )9 A@DE5@4E@C2= C6D62C496C .?:G6CD:EJ @7 &65:4:?6 2?5 )92C>24J
 & )9 2DD:DE2?E AC@76DD@C A@DE5@4E@C2= C6D62C496C .?:G6CD:EJ @7 &65:4:?6 2?5
 ?8
)9&:?:@6E9:4D X C
-
)@A2W.?:G6CD:EJ @7&65:4:?62?5)92C>24J
"2D:-+",&:4C@6=64EC@?:4D"2D: +@>2?:2 6 >2:=:@G42E2=:?J29@@
4@>
 & )9 DD@4:2E6 )C@76DD@C +6D62C49 @@C5:?2E@C .?:G6CD:EJ @7 &65:4:?6 2?5
)92C>24J

ENACHE, M. GRAMMA, R. DUMITRAS, S. MOISA, S. IOV, C. IOAN, B. Communication with


Roma Patient - a Challenge, Postmodern Openings, Volume 4, Isuue 1, March 2013, pp: 159-170

"%& "$!#!!%

'%"( ! !'%!&# #%"%  !  ! ! %! %"(# "&#'% !'

((&'!&'%"'
!&#'"'%"!"*(!!"''&,&' !"!!!!
! ' &'"! ' &,&'  " #') % & )"# &"*, ('
#%"%&&), !" !"(' )"&%)&&%"*'!&&&
 #"&!%"%"(&!,&&"''"%&'!'$(',""#'!'&!
')"# !'"&%)&&'%"!,#!!'"!'&
 %! ' % &,&'  & ! + # " "" #%' %%!
)',"'% '% %'&%)&&&','"' #'!' !
'  %   !'"! #"& &'"! !! #!!! "& ! $(',
"!'%"'%!!!( !%&"(%&!(!' "'"!!&#%'(&(##"%'
 #'!' &# !&  , &(##"%' &(##"%' "% #'% #'!'& ! '%
 &%"(&!#&,""&&&'!&'&&(&
*)"$% #')%"&#!&!'," ! %!
!&$"'&"!
"? 2?4:6?E E:>6D 5@4E@CD 2?5 6G6? E96 @5 @7 >65:4:?6
D4=6A:FDC67FD65E@92?5=69@A6=6DD 42D6D
-C62E:?8 DF49 A2E:6?ED H@F=5
92G6 5:>:?:D965 E96 C6AFE2E:@? @7 E96 5@4E@C 6G6? E9@F89 E9:D H@F=5
92G63C@F89E>2E6C:2=25G2?E286D

)2==:2E:G6 42C6 92D 2? @=5 EC25:E:@? C6AC6D6?E:?8 24EF2==J E96 @?=J
7@C> @7 DFAA@CE 2?5 C6=:67 @7 DF776C:?8 7@C E6C>:?2==J :== A2E:6?ED F?E:=
E96 5:D4@G6CJ @7 2?E:3:@E:4D 2?5 E96 56G6=@A>6?E @7 >@56C? >65:42=
E649?@=@8:6D:?G6DE:82E:@?5:28?@D:D2?5EC62E>6?E
"?E96  D:EH2D
@77:4:2==J C64@8?:K65 2D2>65:42= 7:6=5@C:6?E65 @?E96ADJ49@ 6>@E:@?2=
2?5 DA:C:EF2= 2DA64ED
 !@H6G6C E96 A9JD:42= 2DA64ED @7 42C6 H6C6 DE:==
:>A@CE2?E
-96ADJ49@ 6>@E:@?2= 2?5DA:C:EF2= 2DA64ED 92G6364@>62?
:?E68C2?E 2?5 :?5:DA6?D23=6 A2CE @7 E96 EC62E>6?E
 9@49:?@G 2?5
!@==2?5 
-960@C=5!62=E9 (C82?:K2E:@? 567:?6DA2==:2E:G642C62D
E9624E:G62?5E@E2=42C6@7A2E:6?EDH9@D6:==?6DD?@=@?86CC6DA@?5DE@
4FC2E:G6 EC62E>6?E 7@4FD:?8 @? E96 4@?EC@= A2:? 2?5 @E96C DJ>AE@>D
3FE2=D@@?E96D@4:2=ADJ49@=@8:42=2?5DA:C:EF2=2DD:DE2?464@?D:56C65
2DH6==2D6DD6?E:2=7@CE96 A2E:6?EDH6=72C6
-96A2==:2E:G642C6 8@2= :DE@
6?DFC6 E96 BF2=:EJ @7 =:76 @7 E96 A2E:6?E 2?5 9:D 72>:=J 2D E96 D2>6
D@FC46D>6?E:@?
"?E6C?2E:@?2=?5 @7 %:762C6(3D6CG2E@CJ
@F?ECJ

ENACHE, M. GRAMMA, R. DUMITRAS, S. MOISA, S. IOV, C. IOAN, B. Communication with


Roma Patient - a Challenge, Postmodern Openings, Volume 4, Isuue 1, March 2013, pp: 159-170

" #$&(&'*"!&&($!" !! $!


$! "
(

+6A@CED 
!62=E9"?DFC2?46,JDE6>D:?+@>2?:22?5C2?46H@C<
32D65@?E96D2>6AC:?4:A=6?2>6=JE92E@7D@=:52C:EJ@G6C@7E96
4@DED 36:?8 4@G6C65 3J >FEF2=:EJ 7F?5D A2==:2E:G6 42C6 36:?8 AC@G:565
6G6?4@>A=6E6=J@FE@7:?DFC2?467F?5DC682C5=6DD@7E96A2E:6?EDDE2EFD

&"""*
:G6? E9:D 4@?E6IE H6 AC@A@D65 2 4@>A2C2E:G6 DEF5J 36EH66?
+@>2?:22?5C2?46 :?@C56CE@:56?E:7JE965:776C6?46D2?5D:>:=2C:E:6D
36EH66? DJDE6>D @7 A2==:2E:G6 42C6 :? 3@E9 4@F?EC:6D
06 D6=64E65 
6G2=F2E:@? 4C:E6C:2 7@C E9:D AFCA@D6 E@ AC@G:56 3C@256C A:4EFC6 @? E9:D
EJA6@7D6CG:46
06 92G6FD65E96>6E9@5D@7DEF5J5@4F>6?E2E:@?2?5
5:C64E @3D6CG2E:@? :? 2? :?E6C?D9:A A6C7@C>65 :? 2 4=:?:4 :? C2?46
C@FA6!@DA:E2=:6C,2:?EF8FDE:?6 &2=6DEC@:E3JE967:CDE2FE9@C

-96 D6G6? 4C:E6C:2 4@>A2C:?8 E96 A2==:2E:G6 42C6 :? +@>2?:2 2?5
C2?46H6C6

G2:=23:=:EJ@7962=E942C62?5 962=E942C6C6=2E65D6CG:46D E@E96
A2E:6?E

-96=682= 4@?DEC2:?ED?2E:@?2=A@=:4:6D=68:D=2E:@?:?4=F5:?8E96
6E9:42=5:=6>>2@76FE92?2D:2

:?2?4:2=A=2??:?8>@56=D

,E2?52C5D2?5AC@E@4@=D

!F>2?C6D@FC46D:?4=F5:?8EC2:?:?8

>@E:@?2= 2?5 DA:C:EF2= DFAA@CE A2E:6?E DA64:2= ?665D 72>:=J
DFAA@CE DFAA@CE 7@C A65:2EC:4 A2E:6?ED 2?5 E96:C 72>:=:6D
C6=:8:@FD2?5ADJ49@=@8:42=2DD:DE2?46


A:56>:@=@8:42=56>@8C2A9:44F=EFC2=2?59:DE@C:42=2DA64ED
%'&%!%'%%"!%
6G6=@A>6?E @7 A2==:2E:G6 42C6 :? FC@A6 C2?46 +@>2?:2 92D
>2?J5:776C6?46D2?5D:>:=2C:E:6DH9@D62?2=JD:D2==@HDE96:56?E:7:42E:@?
@7DEC6?8E9D2?5H62<?6DD6D2?5D92A:?82DF446DD7F=>@56=

-96 A2==:2E:G6 42C6 :D E96 =2DE DE6A @7 >65:42= 42C6 367@C6 E96
F?2G@:523=6 6?5
 096? DF49 D6CG:46D 2C6 AC@A@D65 2?5 AC@G:565 E96
562E9:D:>>:?6?E2E2?J>@>6?E @7E:>6>@C6@C=6DD :? 2 >2EE6C@7
>@?E9D
-96 2446AE2?46 @7 562E9 AFE 2 3:8 492==6?86 @? 3@E9 E96
A2E:6?ED2?572>:=J@?@?6D:562?5@?E9642C68:G6CD@?E96@E96CD:56

"?:E:2==J D66?2D56764E3@5JE96A2E:6?E4@?46AE6G@=G65E@E96A2E:6?E2D

ENACHE, M. GRAMMA, R. DUMITRAS, S. MOISA, S. IOV, C. IOAN, B. Communication with


Roma Patient - a Challenge, Postmodern Openings, Volume 4, Isuue 1, March 2013, pp: 159-170

"%& "$!#!!%

3@5J2?5>:?52?5:? :46=J,2F?56CD7@F?565,E
9C:DE@A96CUD
!@DA:46:?,@FE9%@?5@?32D65@?E9:D@?6
6?E6?@ 
)2==:2E:G6 42C6 :?:E:2E6 :? C2?46 :?  :D D:>A=:DE:4
 "? 
27E6C 2 DEF5J EC:A E@ ,E 9C:DE@A96CD !@DA:46 AF3=:42E:@? @7 72E96C
)2EC:4< /6CDA:6C6? 925 2 D:8?:7:42?E :>A24E
 -96 &:?:DECJ @7 !62=E9
3642>6 2H2C6@7E96?665E@4@?D:56CE96>2?286>6?E@7E96D6A2E:6?ED
2E6?5@7=:762?5 @7 28C@FA@76IA6CED@? 2DD:DE:?8 E6C>:?2==J:== A2E:6?ED

02CJ 
"? E96 =2E6  D E96 ?8=@ ,2I@? C6D62C49 @? E96C2A6FE:4
DF776C:?8 6?5 :D AF3=:D965 :? C6?49 ;@FC?2=D
 (? C6?49 E6CC:E@CJ E96
9@DA:46 >@G6>6?E 8C@HD
 -96 7:CDE DA64:7:42==J 565:42E65 D6CG:46D @C
4@?DF=E2E:@?DH:==4C62E62D6CG:46E6C>:?2=42?46C:?@8?24 #2J)2C:D
A2==:2E:G6 42C64@?DF=E2E:@?:? E969@DA:E2= @7,2:?E ,:>@?C@DD)2C:D

6C:2EC:4D6CG:46D2=D@:?4=F56 4@>AC696?D:G642C6:?E96:CAC24E:46D2?5
5@4E@CD H@C<:?87@CE9656G6=@A>6?E@7A2==:2E:G642C62E9@>6
-9FD:?
&:?:DECJ@7!62=E9 7@C>2=:K6D A2==:2E:G642C63JE96:C4F=2C@7
F8FDE @?E96@C82?:K2E:@?@742C62?5DFAA@CE7@CE6C>:?2==J:==
@7E6? 42==65 :C4F=2C %2C@BF6
 -9:D H@C< 4@?E:?F6D H:E9 E96 7:CDE
A2==:2E:G642C6F?:E),.
(E96C 724:=:E:6D H:==7@==@HBF:4<=J@?5:776C6?E
H2JD 9@DA:E2= 365D 4=:?:4D H:E9 52J 365D >@3:=6 E62>D 9@>642C6

&@?:E@C:?8?5@7%:762C6 

FC:?8 E96 D2>6 A6C:@5 ?@? 8@G6C?>6?E2= @C82?:K2E:@?D 3682?


24E:G2E:?8
#%&%/ F?E:= 562E9 244@>A2?J =:76 H2D 4C62E65 :? 
:? C6?@3=6 367@C6 364@>:?8 2 7656C2E:@?
 -96 .',) '2E:@?2=
.?:@? @7 DD@4:2E:@?D 7@C E96 56G6=@A>6?E @7 A2==:2E:G6 42C6 56C:G65
7C@>E96,)7@F?56C H2D3@C?:?)2C:D:? 
02CJ 
"?  2EE6?E:@? 92D 5:C64E65 :? E6C>D @7 EC2:?:?8 DA64:2=:DED

&2?J@7E96D62DD@4:2E:@?D=:<6 >:?565@3;64E:G6D2AAC@24965 @7962=E9


AC@76DD:@?2=D 5@4E@CD ?FCD6D ADJ49@=@8:DED D@4:2= H@C<6CD E@ 7@F?5
E96C6?49,@4:6EJ@7)2==:2E:G62C62?5,FAA@CE+,
"ED>:DD:@?:DE@
C6AC6D6?E AC@>@E6 2?5 724:=:E2E6 E96 24E:@? @7 ?2EFC2= @C =682= A6CD@?D
:?G@=G65:?E969@DA:46>@G6>6?E2?5DFAA@CE7@CA6@A=6:?=2E6C=:76:?
@C56C E@ 56G6=@A 2?5 :>AC@G6 E96 >2?286>6?E 42C6 @7 A6@A=62?5 E96
BF2=:EJ @7 42C6 C646:G65
 -96 +, :D :?4=F5:?8 E96:C DA@<6DA6CD@?
8@G6C?>6?ED
 "?DE:EFE6 '2E:@?2= 56 )CSG6?E:@? 6E 5U5F42E:@? A@FC =2
,2?ES 

ENACHE, M. GRAMMA, R. DUMITRAS, S. MOISA, S. IOV, C. IOAN, B. Communication with


Roma Patient - a Challenge, Postmodern Openings, Volume 4, Isuue 1, March 2013, pp: 159-170

" #$&(&'*"!&&($!" !! $!


$! "
(

C2?46 92DA=2465DA64:2=6>A92D:D@?E964C62E:@?@72DA64:7:4
=68:D=2E:@?E@DFAA@CEE96>65:42=DJDE6>2?5E9636?67:4:2C:6D
06925
E@>6?E:@?D@>6G6CJ:>A@CE2?E52E2@? E96 =682= 7C2>6
  =2H @7   #F=J :?EC@5F465 !@DA:E2= A2==:2E:G6 42C6 :?
>:DD:@?D2?J962=E9724:=:EJ
E96C6A@CE@7 C
6=364BF62EE96C6BF6DE@7E96&:?:DECJ
@7!62=E9C6A@CE65@?56G6=@A>6?EDD:?46 2?5E964:C4F=2C
:DDF65AC@A@D2=D
 :>AC@G6>6?E@7E96>2?286>6?E@7A2:?2?5H@C<:?8D@?
E6IED:?E9:D5:C64E:@?
6C?2C5$@F49?6C&:?:DE6C@7,E2E67@C!62=E9D2:5E92E
A2==:2E:G6 42C62?5 A2:? :D 2 AF3=:4 962=E9 AC:@C:EJ
 -96 
 EC:6??:2=A=2?:?G@=G6DD6G6C2=EC2:?:?8>65:42=D49@@=2?5
?FCD:?8:?DE:EFE6D2?5E964C62E:@?@7?6H962=E942C6724:=:E:6D
 -96 =682= :C4F=2C %2C@BF6 E96 4E @7 #F?6  A2DD65
F?2?:>@FD=J 3J A2C=:2>6?E 8F2C2?E66D 2 C:89E @7 2446DD E@
A2==:2E:G642C67@C6G6CJ@?6:?=2E6C=:76
-96=2H2=D@6DE23=:D96D
2DFAA@CEE92E42?=62G6A6@A=6H:D9:?8E@244@>A2?JE96?62C
6?5@7=:76

 02CJ 
  -96 4:C4F=2C @7  &2C49 E96 '2E:@?2= !62=E9 "?DFC2?46
F?5 '& 567:?65 4@?EC:3FE:@? 7F?5 962=E9 2?5 D@4:2=
24E:@?@7E963@5JE@>2:?E2:?E969@>6D@7A6@A=6:?=2E6C=:76

"E AC@G:56D :? A2CE:4F=2C 7:?2?4:2= 2DD:DE2?46 F?56C 46CE2:?


4@?5:E:@?D7@CE96A2J>6?E@7?FCD6D2?5AFC492D6@7DA64:7:4
6BF:A>6?E
?6?5@H>6?EH2D4C62E65E@DFAA@CEE96EC2:?:?8
@7 G@=F?E66C DFAA@CE 2?5 E96 >2?286>6?E :D 6?ECFDE65 E@ E96
+,
 "? 255:E:@? E96 8@G6C?>6?E AF3=:D96D E96 4:C4F=2C @7 
&2JH9:496?4@FC286DE9656G6=@A>6?E@79@DA:E2=2E9@>63J
E96 +68:@?2= !@DA:E2= 86?4:6D +! :?5:42E:?8 E92E E96D6
DECF4EFC6D2C6:?G@=G65:?E96>2?286>6?E@7A2:?2?5A2==:2E:G6
42C6
 @7 63CF2CJ4:C4F=2CDA64:7:6D@C82?:K2E:@?@7A2==:2E:G6
42C6 2?5 244@>A2?:>6?E
 "E 567:?6D E96 E2D<D 2?5 @A6C2E:?8
AC@465FC6DC682C5:?8?6EH@C<DA2==:2E:G642C62?59@>642C6E96
4@?46AE@7277:C>2E:G624E:@?:?2==D6CG:46D2?5E964@?46AE@7
A2==:2E:G642C6365D:56?E:7:65
-9:D4:C4F=2C:D244@>A2?:653J2

ENACHE, M. GRAMMA, R. DUMITRAS, S. MOISA, S. IOV, C. IOAN, B. Communication with


Roma Patient - a Challenge, Postmodern Openings, Volume 4, Isuue 1, March 2013, pp: 159-170

"%& "$!#!!%

D64@?5 ?2E:@?2= 56G6=@A>6?E AC@8C2> :? A2==:2E:G6 42C6  


 7@4FD6D@?E9C662C62D
-9656G6=@A>6?E@7A2==:2E:G642C62E9@>6
FCE96CDEC6?8E96?:?82?54C62E:@?@7DA64:2=:K65DECF4EFC6D
)F3=:42H2C6?6DD2?5:?7@C>2E:@?@7E966?E:C6D@4:2=3@5J
E@E96A2==:2E:G62AAC@249

-96 42?46C A=2? AC6D6?E65 E@ E96 )C6D:56?E @7 E96 +6AF3=:4
DEC6DD65 E96 ?665 E@ 56G6=@A DFAA@CE:G6 42C6 6?23=:?8 4@>AC696?D:G6
A2==:2E:G642C62?5DFAA@CE >2?286>6?E E@ E96A2E:6?E
@>:ES?2E:@?2=
56DF:G:5F 5SG6=@AA6>6?E 56DD@:?DA2==:2E:7D6E56 =U244@>A28?6>6?E
 
6EH66? =2E6   2?5 E96 DAC:?8 @7   :? 2? 6>@E:@?2=
4@?E6IE A2CE:4F=2C=J 5C2>2E:4 2 A2C=:2>6?E2CJ 4@>>:DD:@? H2D D6E FA
492:C65 3J #62? %6@?6EE:
 'F>6C@FD 962C:?8D @7 A9JD:4:2?D
A9:=@D@A96CD D@4:@=@8:DED C6AC6D6?E2E:G6D @7 C6=:8:@?D 24E@CD A2==:2E:G6
42C6:?4=F5:?8),C6AC6D6?E2E:G6D@7E96D@4:2=3@5J D965=:89E@?
9:D H@C<
 == C64@>>6?52E:@?D 7C@> E96 C6A@CE @7 E9:D >:DD:@? 92D
C6DF=E65 :? 2 3:== E92E H2D F?2?:>@FD=J 25@AE65 3J  G@E6D :? E96
'2E:@?2=DD6>3=J@? 646>36C 2?5A2DD65:?E6C>D4@?D:DE6?E
H:E9E96,6?2E6@?AC:= 
)C@>F=82E65@?AC:= E96=2H
H2D AF3=:D965 :? E96 (77:4:2= #@FC?2=
 @>:ES ?2E:@?2= 56 DF:G: 5F
56G6=@AA6>6?E56DD@:?DA2==:2E:7D6E56=U244@>A28?6>6?E 

=E9@F89 E96C6 :D ?@E DF49 2 3:8 82A :? E:>6 36EH66? E96 EH@
4@F?EC:6DC682C5:?8E96@?D6E@7A2==:2E:G642C6E965:776C6?464@?D:DED:?
E967FCE96C6G@=FE:@?

)2==:2E:G6 42C6 H2D :?EC@5F465 :? +@>2?:2 @?=J D:I J62CD


5:776C6?46 @7 E96 C6?49 563FE 3J AC@>@E6CD 492C:E23=6 7@F?52E:@?D
>2:?=J DFAA@CE65 3J 6IE6C?2= A2CE?6CD H:E9@FE 2?J DFAA@CE 7C@> E96
2FE9@C:E:6D
)2==:2E:G6 42C6 D6CG:46D 92G6 6>6C865 :? +@>2?:2 2E ?@?
8@G6C?>6?E2= 2DD@4:2E:@? =6G6= :?G@=G:?8 7@C6:8? A2CE?6CD  J62CD 27E6C
E96 A@=:E:42=C68:>6492?86 :?72==@7 
(?=J:? H6C67@F?565
+@>2?:2? DD@4:2E:@? 7@C E96 56G6=@A>6?E @7 A2==:2E:G6 42C6 E96 7:CDE
9@DA:467@C49:=5C6?H:E9",36=@?8:?8E@E96+@>2?:2?@F?52E:@?
7@C 9:=5C6?D :5 2?5 ?8=:D9 +@>2?:2? @F?52E:@? !@DA:46 -96

 FCC6?E=J 
!@FD6 @7 !@A6W :? +@>2?:2? V
AC@G:56CD 2C6 H@C<:?8 AF3=:42?5AC:G2E656=:G6C:?8D6CG:46D

ENACHE, M. GRAMMA, R. DUMITRAS, S. MOISA, S. IOV, C. IOAN, B. Communication with


Roma Patient - a Challenge, Postmodern Openings, Volume 4, Isuue 1, March 2013, pp: 159-170

" #$&(&'*"!&&($!" !! $!


$! "
(

+@>2?:2:D C2?<65 @?E96?5A=246:?E96FC@A62?9:6C2C49J


2D H92E >62?D C6D@FC46D 2?5 @? E96 E9 A=246 2D H92E >62?D G:E2=:EJ

,6CG:46 2G2:=23:=:EJ 2DD6DD>6?E C6G62=D E92E @?=J 


 @7 E96 A@E6?E:2=
36?67:4:2C:6D 92G6 2446DD E@ DA64:2=:K65 D6CG:46D :
6
   365D 2E 
>:==:@?:?923:E2?ED
4@F?E:6D@FE@7 92G6?@A2==:2E:G642C6D6CG:46

/=25F 
FCC6?E =68:D=2E:@? 4@?E2:?D @?=J 86?6C2= C676C6?46D E@ A2==:2E:G6
42C6
? . C6A@CE 7C@>   C6G62=D E92E E96 C6?49 DJDE6> :D
?@E6H@CE9J 7@C E96 H:56 2G2:=23:=:EJ 2?5 G2C:6EJ @7 7C66 A2==:2E:G6 42C6
D6CG:46DE96C6D62C49DECF4EFC6H9:49:DD@=:5:7J:?8E92?<DE@E96DFAA@CE
@7E96&:?:DECJ@7!62=E92?5E964@?E:?F65324<:?83JE96A2C=:2>6?E

2C6 :D FDF2==J 32D65 56=:G6C65 E9C@F89 E96 9@DA:E2= H:E9 E96 >2:? @7
A2==:2E:G642C6E62>D H@C<:?8 :?E9:DD6EE:?82=E9@F89C646?E=J9@>642C6
92D2=D@D66?C2A:5 56G6=@A>6?E
"? E96=2DEE6?J62CDE96G:E2=:EJ@7E9:D
7:6=592D8C@H? 5C2>2E:42==J6G:56?4653JE96BF2?E:EJ@7A2==:2E:G642C6
2DD@4:2E:@?D H9:49 92G6 DACF?8 FA  @C82?:K2E:@?D F?56C E96
F>3C6==2 @7 E96 ,@4:6ES C2?Q2:D6 5UL44@>A28?6>6?E 6E 56D ,@:?D
)2==:2E:7D ,) C6AC6D6?E:?8   >6>36CD 2?5 4@?D:DE6?E
=68:D=2E:@? C6?6H65 2AAC@I:>2E6=J 6G6CJ E9C66 J62CD H9:49 5676?5D
A2==:2E:G6 42C6 2D 2 C:89E 7@C 2== 4:E:K6?D
 -96 7@C>F=2E:@? 2?5
:>A=6>6?E2E:@?@72?2E:@?2=A=2?@?A2==:2E:G642C692D2=D@366??2>65
2D @?6 @7 E96 E9C66 962=E9 AC:@C:E:6D @7 E96 )C6D:56?E @7 E96 +6AF3=:4

)C6D4C:AE:@? @7 A2:?<:==6CD DE:== C6BF:C6D 2 DA64:2= 5@4F>6?E


 -96C6 :D
DEC@?8C6D:DE2?46E@E96D65CF8D7C@>3@E9 )D2?5>2?JA2==:2E:G642C6
AC24E:E:@?6CD
 FC@A62? )2C=:2>6?ED @>>:EE66 @? E96 ?G:C@?>6?E
)F3=:4!62=E92?5@@5,276EJ 
+682C5:?8 9F>2? C6D@FC46D EC2:?:?8 2?5 C6D62C49 E96 C6DF=ED
4@?7:C> E96 2EE6?E:@? E92E 3@E9 E96 @G6C?>6?E 2?5 AC@76DD:@?2=
@C82?:K2E:@?D8:G6E@E96 A6C7@C>2?46@7AC@76DD:@?2=D
,E2E:DE:4D@7E96
&:?:DECJ@7962=E9@7C2?46>6?E:@?DE966I:DE6?46:? @7A2==:2E:G6
42C6 )D :?4=F5:?8 9@>6 42C6 A2:? >2?286>6?E 2?5 72>:=J DFAA@CE
  A9JD:4:2?D 2?5 2=>@DE   ?FCD6D H@C<:?8 :? A2==:2E:G6 42C6 :?
C2?46
 (?6 D2>A=6 9@DA:E2= DFAA@CE E62> :? )2C:D 4@?D:DE65 @7 EH@
5@4E@CD 7:G6 ?FCD6D 2 ADJ49@=@8:DE 2?5 2 D64C6E2CJ
09:=6 E96C6 :D 2?
@AE:@?2= A@DE8C25F2E6 4@FCD6 :? A2==:2E:G6 42C6 C6BF:C65 7@C E9@D6
H@C<:?8 :? E96 7:6=5 2?5 E6249:?8 9@DA:E2=D :?4@CA@C2E6 A2==:2E:G6 42C6
65F42E:@? :?E@ E96:C 4@FCD6D 2D H6== 2D 42CCJ:?8 @FE C6D62C49 >2?J

ENACHE, M. GRAMMA, R. DUMITRAS, S. MOISA, S. IOV, C. IOAN, B. Communication with


Roma Patient - a Challenge, Postmodern Openings, Volume 4, Isuue 1, March 2013, pp: 159-170

"%& "$!#!!%

C6?495@4E@CD92G6 4@>A=2:?65 E92EE96:CA2:?>2?286>6?EEC2:?:?8:D


:?DF77:4:6?E
 "?DE:EFE6 '2E:@?2= 56 )CSG6?E:@? 6E 5U5F42E:@? A@FC =2
,2?ES 
"? +@>2?:2 E96 EC2:?:?8 @7 5@4E@CD 2?5 ?FCD6D H@C<:?8 :?
A2==:2E:G642C6AC@8C2>D6CG:46D:D AC@G:565@?=J3J E96DD@4:2E:@? -96
 E96 @?6 E92E 92D
3C@F89E :? E9:D <:?5 @7 >65:42= 42C6
 -96 4@FCD6D 2C6 2AAC@G65 3J E96
@==686@7)9JD:4:2?D2?5 E2<6D  J62CD
FEE964@DED2C6BF:E69:897@C
E96 4FCC6?E :?4@>6 @7 5@4E@CD 2?5 ?FCD6D D@ E92E E96 2446DD:3:=:EJ :D
C65F4656G6?7C@>E9:DA@:?E@7G:6H

"?   E96C6 H6C6 2? 6DE:>2E65  7F== E:>6 A2==:2E:G6 42C6
H@C<6CD :?4=F5:?8  A9JD:4:2?D 2?5  ?FCD6D
 "?   92G6 366?
C6A@CE65   A2==:2E:G6 42C6 H@C<6CD
 2E2=@8F= ,6CG:4::=@C 56 N?8C:;:C:
)2=:2E:G65:?+@>P?:2  
+682C5:?8 6>@E:@?2= 2?5 DA:C:EF2= DFAA@CE :E D9@F=5 36 ?@E65
E92E6249E62>DECF4EFC692D24=:?:42=ADJ49@=@8:DE3FE42?2=D@ C6BF6DE
?6FC@ADJ49@=@8J DFAA@CE
-96>2;@C:EJ@7A2==:2E:G642C64=:?:4:2?DH@C<
:? 7@C>2= @C ?@? 7@C>2= 2DD@4:2E:@?D H:E9 G2C:@FD C6=:8:@FD
6DE23=:D9>6?ED 4@?G6?ED @7 ?F?D @C >@?<D
 -9FD 2== 4=:?:4D C646:G6
DA:C:EF2= DFAA@CE 7C@> AC:6DED 2?5 ?F?D 36:?8 2=D@ @3D6CG65 E96
4@?76DD:@?2=@AE:@?
F3CJ2?52J56 
-966I2>A=6@7&2=6DEC@:E4=:?:4:D6?=:89E6?:?8:?E9:DC6DA64E
"E
24ED :?2G6CJ@=5H@C<C6=2E:@?D9:AH:E9E96(C56C@7F8FDE:?6,:DE6CD
7C@>#6DFD
=>@DE  A2E:6?EDC646:G62G:D:E7C@> 2AC:6DE@742E9@=:4
C6=:8:@?@C2?J@E96C4@?76DD:@?FA@?C6BF6DE
-96AC:6DE :D ?@EH62C:?8
@77:4:2=C@36D
-96J 2C6 5C6DD65C68F=2C2?5C6=:8:@FD2DD:DE2?46:D@776C65
@?=J @? C6BF6DE
 "? E96 C6>2:?:?8 G:D:ED E96 AC:6DE 24ED 2D 2 D:>A=6
4@?G6CD2E:@? A2CE?6C
 !6 ?6G6C E2=<D E@ E96 A2E:6?E 23@FE 9:D A@DD:3=6
562E9@C3FC:2=C:EF2=
-9:D:DDF6:D255C6DD65@?=JE@E9672>:=J@CA6CD@?
@74@?7:56?46@7E96A2E:6?E
%2>2F 
"?+@>2?:2E96>@DEDA:C:EF2=DFAA@CE:DAC@G:5653JAC:6DED@?
DE277 2E AF3=:4 9@DA:E2=D 2?5 G@=F?E66C AC:6DED 2E AC:G2E6 @C ?@?
8@G6C?>6?E2= :?DE:EFE:@?D 2=E9@F89 E96C6 2C6 2 76H ADJ49@=@8:DED :?
D@>6 46?E6CD ?@E23=J E96 V!@FD6 @7 9@A6W E92E 2=D@ AC@G:56 E9:D
DFAA@CE:D>6?E:@?65:?E96C6A@CE@7E96FC@A62?.?:@?E92E36:?8
E96@?=J2G2:=23=6@77:4:2=52E2
,A:C:EF2=42C6:D@776C653JE96AC:6DED@7
E969@DA:E2=
-96AC:6DED6I:DEE96C6367@C6E964C62E:@?@7E96A2==:2E:G6

ENACHE, M. GRAMMA, R. DUMITRAS, S. MOISA, S. IOV, C. IOAN, B. Communication with


Roma Patient - a Challenge, Postmodern Openings, Volume 4, Isuue 1, March 2013, pp: 159-170

" #$&(&'*"!&&($!" !! $!


$! "
(

42C6AC@8C2>2?592G6?@DA64:2=EC2:?:?8E@H@C<H:E9DF49A2E:6?ED
"?
E96 D2>6 4:C4F>DE2?46D 2C6 2=D@ E96 ADJ49@=@8:DED
 FC@A62?
)2C=:2>6?ED @>>:EE66 @? E96 ?G:C@?>6?E )F3=:4 !62=E9 2?5 @@5
,276EJ 
@?D:56C23=6 5:776C6?46D 36EH66? E96 EH@ 4@F?EC:6D 2C6 ?@E23=6
:? E6C>D @7 =682= AC@G:D:@?D E9FD :7 E96 )2==:2E:G6 42C6 =68:D=2E:@? :?
C2?46 52E6D 324< E@  H:E9 C68F=2C C6G:D:@?D 2?5 FA52E6D :?
+@>2?:2 E96C6 2C6 ?@ =2HD @C C68F=2E:@?D :? E9:D C682C5
 !62=E9 %2H
  5@6D?@E:?4=F56C676C6?46DE@E9:DEJA6@742C6
&@C6@G6CE96
D6EE=6>6?E @7 A2==:2E:G6 42C6 D6CG:46D :D ?@E 5@?6 2D DF49
 )C24E:42= E96
D6CG:46D7@CA2E:6?ED2C6D6EE=652D7@C 49C@?:4:== A2E:6?ED@CH:E942?46C

-96 6IAC6DD:@? A2==:2E:G6 42C6 5@6D ?@E 6I:DE :? E96 +@>2?:2? 962=E9
=2H
DD@4:2E:@? 7@C6G6=@A>6?E@7E96)2==:2E:G642C6AC@8C2>:D DE:==
ECJ:?8E@:>A@D62D6C:6D@7492?86DE@E9:D=2H

-96D6492?86D92G6366?DF3>:EE65E@E96)2C=:2>6?ED:?46
2?5 2:> 2 76H :E6>D ?2>6=J :?EC@5F4E:@? E@ E:E=6 " 492AE6C """ @7 E96
=2H @? 962=E9 A2==:2E:G6 42C6 2D:56 E96 4FC2E:G6 2?5 AC@A9J=24E:4 @?6

-96C62C62=D@2:>65E@4@G6C2==@7E96A2==:2E:G64@DED3JE96:?DFC2?46
=2H2?5E96C:89E@76G6CJA2E:6?EH9@>66EDE96 >65:42=4@?5:E:@?DE@
BF2=:7J 7@C E9:D EJA6 @7 42C6 2 >:?:>F> @7  365D A6C 
:?923:E2?ED C64@8?:E:@? @7 A2==:2E:G6 42C6 AC@8C2> @7 E96 9@DA:E2=
@FEA2E:6?E @C 9@>6 42C6 2?5 E96:C C6:>3FCD6>6?E
 FCE96C>@C6 E96
=68:D=2E:G6 AC@A@D2= :?4=F56D 2=D@ 2 4=62C 567:?:E:@?@7 E96 A2==:2E:G6 42C6
AC@8C2>2?5@7E96EJA6D@7D6CG:46DE96JC6BF:C6

,@>6 =68:D=2E:G6 AC@8C6DD 3FE >FDE 36 >6?E:@?65


 "?   H2D
AF3=:D965 E96 DE2?52C5D 7@C D6CG:46D
"?   2 =2H C6=2I65 E96 C:8:5
3FC62F4C2E:4 AC@46DD6D 7@C @A:@:5 AC6D4C:AE:@?
 FCC6?E=J E96C6 :D ?@
?2E:@?2= A=2? 7@C A2==:2E:G6 42C6 AC@8C2> :? 67764E 9@H6G6C E96C6 :D 2
DEC@?8 =@33J 7@C E9:D 2?5 :? 724E @?6 :D 36:?8 7@C>F=2E65 E9C@F89 E96
&:?:DECJ @7 )F3=:4 !62=E9 F?56C E96 2FDA:46D @7 2 '2E:@?2= )=2? 7@C
2?46C@?EC@=
@852? 
"? C2?46 E96 =68:D=2E:@? DJDE6>2E:42==J 6G@=G6D D@ E92E :E
C64@8?:K6D E96C:89EE@A2==:2E:G642C67@C2?JA2E:6?EE92EC6BF:C6D:E
-96
=2H 2=D@ >2<6D AC@G:D:@?D 7@C 65F42E:@? 2?5 EC2:?:?8 2D H6== 2D
4@>A6?D2E:@?7@C72>:=J>6>36CDH9@E2<62 >@?E9=62G67C@>H@C<
E@42C67@C25J:?8C6=2E:G6
FE92?2D:22?52DD:DE65DF:4:562C6?@E=682=
56DA:E62 DEC@?8 AC@ 6FE92?2D:2 >@G6>6?E
!@H6G6C25G2?465:C64E:G6D

ENACHE, M. GRAMMA, R. DUMITRAS, S. MOISA, S. IOV, C. IOAN, B. Communication with


Roma Patient - a Challenge, Postmodern Openings, Volume 4, Isuue 1, March 2013, pp: 159-170

"%& "$!#!!%

2C6 =682= :? C2?462AC@G:D:@?H9:49 H2D:?4=F565 :?E96  =2H @?


A2E:6?EDU C:89ED 2?5 6?5 @7 =:76 42C6
"?E6C?2E:@?2= ?5 @7 %:76 2C6
(3D6CG2E@CJ
@F?ECJ+6A@CED 
:?2?4:2==J DA62<:?8 E96 A2==:2E:G6 42C6 :? C2?46 :D 7F==J
:?E68C2E65:?E@E96?2E:@?2=962=E9DJDE6>H9:49:D7C66E@2==C6D:56?ED

)2==:2E:G6 42C6 AC@G:D:@?D :?4=F56 DA64:7:4 >6492?:D>D 7@C 9@>6 42C6


7F?5:?8
FC@A62?)2C=:2>6?ED@>>:EE66@?E96?G:C@?>6?E)F3=:4
!62=E92?5@@5,276EJ 
-96 +@>2?:2? 8@G6C?>6?E 7F?5D 6?E:C6=J @C :? A2CE E96 :?
A2E:6?EF?:EDE9C@F89E96?2E:@?2=:?DFC2?467F?5D
-96:?DFC2?46DJDE6>
5@6D?@EAC24E:42==J7:?2?46A2==:2E:G642C63FED6CG:46D7@C49C@?:42==J:==
A2E:6?ED @CE9@F89E96?2E:@?2=AC@8C2>7@C@?4@=@8JA2E:6?ED2DE96C6:D
?@492AE6C565:42E65E@E9:DEJA6@7D6CG:46
!@>642C6:D?@E:?4=F565
2?5>2?J9@DA:46 @C82?:K2E:@?D 56A6?5@?:?E6C?2E:@?2=DFAA@CEAC:G2E6
5@?2E:@?D2?5@E96CD@FC46D@7:?4@>6E@ >66E 4@DED

"!'%"!%
=E9@F89 E96 EH@ DJDE6>D A2==:2E:G6 8C6H :? D9@CE 5:DE2?46 @7
E:>6 7FCE96C 56G6=@A>6?E H2D G6CJ 5:776C6?E
 J :?G@=G:?8 @7 962=E9
2FE9@C:E:6D :? ;FDE  J62CD :? C2?46 E96 =68:D=2E:@? @C82?:K2E:@?2=
DECF4EFC62?57F?4E:@?:?8@7A2==:2E:G642C63642>6E96>@DE4@>A6E:E:G6
2E :?E6C?2E:@?2= =6G6= =:<6 E96 ?8=:D9 DJDE6> H9:49 92D E96 @=56DE
EC25:E:@?:?E967:6=5
"?E96D2>6A6C:@5@7E:>6+@>2?:292D?@E6G6?
DF4466565 E@ :?EC@5F46 :? 4FCC6?E =68:D=2E:@? E96 4@?46AE @7 A2==:2E:G6
42C6E@7@C>2=:K6 :E

"? E96 4@?E6IE @7 49C@?:4 =@H 7F?5:?8 @7 E96 962=E9 DJDE6> 2
?@? 492==6?8:?82?5 =62?962=E9=68:D=2E:@?A2==:2E:G642C6:?+@>2?:292D
56G6=@A65D=@H=J3FEAC@8C6DD:G6=J9@H6G6CE96=6G6=@7D6CG:46D:D72C
36=@H E96 ?665D
 -9:D :D :>A@D:?8 2 C:8@C@FD 2?2=JD:D @7 E96 724E@CD
27764E:?8E96BF2=:EJ@7=:76@7A2E:6?ED2?5E9656G6=@A>6?E@7D6CG:46D:?
5:C64E4@CC6=2E:@?H:E9E96D6

-96 A2==:2E:G6 42C6 :D 2 4FCC6?E C62=:EJ 6G6? :? +@>2?:2


 -96
8=@32=:K2E:@? H:E9 E96 E649?@=@8:42= :?D6CE:@? :? >65:4:?6 3C@F89E E96
DA64:7:46?5@7=:76:DDF6D6G6?:?E9:DD:56@7E96H@C=5
)C@A6C2EE6?E:@?
:D C6BF6;DE65 7C@> E96 8@G6C?>6?E :? E6C>D @7 =2H 7C2>:?8 2?5
C68F=2E:@?D

ENACHE, M. GRAMMA, R. DUMITRAS, S. MOISA, S. IOV, C. IOAN, B. Communication with


Roma Patient - a Challenge, Postmodern Openings, Volume 4, Isuue 1, March 2013, pp: 159-170

" #$&(&'*"!&&($!" !! $!


$! "
(

!") !&%
-9:D A2A6C H2D 6=23@C2E65 H:E9:? E96 )C@;64E V)@DE5@4E@C2=
,EF5:6D
:?
E96
:6=5
@7
!62=E9
)@=:4J
E9:4DW
)(,+. 
 ,   4@ 7:?2?465 3J FC@A62? ,@4:2= F?5 3J
,64E@C:2= (A6C2E:@?2= )C@8C2> 7@C E96 6G6=@A>6?E @7 !F>2?
+6D@FC46D   

F3CJ +
 2J56 &

   ,@:?D )2==:2E:7D SE:BF6 6E 7:? 56 G:6
0@=E6CD$=FH6CC2?46

@852? 
   -96 +@>2?:2? ,@4:6EJ @7 )2==:2E@=@8J 
-92?2E@=@8JT+C@>,+)-+@>2?:2

2E2=@8F= ,6CG:4::=@C 56 "?8C:;:C: A2=:2E:G6 5:? +@>P?:2    2E2=@8


C62=:K2E 56 '") D@4:2 :2 '2
6?E6?@
   24ED 2?5 :?5:42E@CD @? A2==:2E:G6 42C6 56G6=@A>6?E
:?4@F?EC:6D@7E960!(FC@A62?C68:@? C6DF=ED@72?
)-2D<@C46 )2==:2E:G6 &65:4:?6  

9@49:?@G!
&
!@==2?5#

  6C62G6>6?E2DA64:2=:DDF6:?
@?4@=@8J "? !@==2?5 #

 +@H=2?5 #
!
 65D
  
!2?53@@< @7 )DJ49@ @?4@=@8J )DJ49@=@8:42= 2C6 @7 E96
)2E:6?E 0:E9 2?46C '6H 1@C< (I7@C5 .?:G6CD:EJ )C6DD
AA
  

@>:ES ?2E:@?2= 56 DF:G: 5F 56G6=@AA6>6?E 56D D@:?D A2==:2E:7D 6E 56
=U244@>A28?6>6?E
  +2AA@CE 56 7:? 5SI6C4:D6
 )2C:D
&:?:DE6C656=2,2?ES56=2#6F?6DD66E56D,A@CED

FC@A62? )2C=:2>6?E ,EF5J   )2==:2E:G6 42C6 :? E96 FC@A62?


.?:@? -9:D DEF5J H2D C6BF6DE65 3J E96 FC@A62?
)2C=:2>6?ED@>>:EE66@?E96?G:C@?>6?E)F3=:4!62=E9
2?5@@5,276EJ
+67
")  '/" "   
9EEA HHH
D@:? A2==:2E:7
@C8 5@4F>6?E2E:@? 6DA246D
E96>2E:BF6D D@:?D A2==:2E:7D A@FC 25F=E6D
"?DE:EFE6'2E:@?2=56)CSG6?E:@?6E5U5F42E:@?A@FC=2,2?ES  %6D
A2E:6?ED 6? 7:? 56 G:6 ,@:?D A2==:2E:7D 6E 244@>A28?6>6?E

G2:=23=67C@>.+%9EEA HHH
:?A6D
D2?E6
7C

ENACHE, M. GRAMMA, R. DUMITRAS, S. MOISA, S. IOV, C. IOAN, B. Communication with


Roma Patient - a Challenge, Postmodern Openings, Volume 4, Isuue 1, March 2013, pp: 159-170

"%& "$!#!!%

"?E6C?2E:@?2= ?5 @7 %:76 2C6 (3D6CG2E@CJ


 @F?ECJ +6A@CED
 
G2:=23=67C@>.+%9EEA HHH
6@=4 @3D6CG2E@CJ
?6E

%2>2F&
%
  &2?F6=56D@:?DA2==:2E:7D.'(

&625@C$
  ,A:C:EF2=2C62EE96?5@7%:76092E"D"E2?509@
@6D"E'@C9E 2C@=:?2 &65:42=  

&@?:E@C:?8 ?5 @7 %:76 2C6


  G2:=23=6 7C@>
.+%9EEA HHH
6?5@7=:7642C6
36

/=25F 
    6?6C2= :C64E@C2E6 7@C )@=:4:6D ,EC2E68:6D 2?5
*F2=:EJ&2?286>6?E:?962=E9+@>2?:2 T+ )2==:2E:G642C6
:?+@>2?:2

02CJ 
   %6 >@FG6>6?E A2==:2E:7 7C2?Q2:D  A6E:E6 9:DE@:C6 6E
6G@=FE:@? 6C?2C5 +6GF6 56 =2 S5SC2E:@? #%&%/
  

ENACHE, M. GRAMMA, R. DUMITRAS, S. MOISA, S. IOV, C. IOAN, B. Communication with


Roma Patient - a Challenge, Postmodern Openings, Volume 4, Isuue 1, March 2013, pp: 159-170

Você também pode gostar