The present analysis considers an institutional's ideology as possible supporter of the discoursive form existing between the members of the health team and patients. It reveals discoursive parts of the members from the medical and nurse team and the oncologyc patients interned, in diferents interactional situations. It was observed that: — the staff is the one who decides if the patients is tobe include or not in the conversation, independently of his physical presence; there is assymmetry in this relationship; there is "turning-off" of the patient. It is concluded that the institutional power existent maintain discoursive form observed and it difficults the changes in the interactional-relationship between these elements.
Communication; Interpersonal relations