Dialogic interactions among multi-professionals in the context of online sessions - Vol 13 No 1 - 2025

Aug 20, 2026

The study examines professional love within online interprofessional sessions, focusing on how healthcare professionals use a dialogic framework to reflect on discomfort arising in their collaborative practice. Drawing on reflective writing from observations of dialogic practice, it traces a first author’s engagement in a 2014 study group centered on Moyatto, emotional, cognitive, and physical distress triggered by conflicting communication among differing viewpoints. Findings emphasize sharing Moyatto experiences without quid pro quo and show how post-session resonance, even without direct conversation, can prompt inquiries into unfamiliar perspectives. The authors conceptualize this caring-while-observing process as Mederu, suggesting that transitional learning should be supported by sustainable continuing education resources.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages31

Reading Time1 h 18 min

AccessFree to download

Introduction

Dialogic interactions among multi-professionals in online sessions

Moyatto experiences and professional love

Mederu and transitional learning for continuing education

gIg: 232-3290 (ongline)y Dialogic interactions among multi-professionals in the context of online sessions: The use of Mederu to understand Moyatto experiences Itsuki Sano Nagoya University, Japan Hiroshi Nishigori Nagoya University, Japan Mariko Morishita Kyoto University, Japan | Abstract
This study discusses professional love in the context of online sessions where healthcare professionals employ adialogic framework to reflect on or explore how discomfort arises in their interprofessional practices. The goal of this study is to provide frontline practitioners and educators with insights into what constitutes professional love in dialogue and to suggest avenues of support for the development of continuous health profession education through such dialogue. We took a reflective writing approach based on observations of dialogic practices. This essay represents a reflective writing conducted by the first author as he explored, in his own practice, love in dialogic interactions among professionals in online sessions. He established a Study Group in 2014, aiming to improve interprofessional collaboration through dialogue on Moyatto, which is defined as emotional, cognitive, and physical distress experienced when individuals face conflicting communication with people who have different viewpoints and interests. We describe actual events that occurred in sessions and interactions that continue even without direct conversations after the conclusion of the session.
The results indicate that the first step for professionals to experience love in their professional practice is to share the Moyatto experiences without any quid pro quo in response to the other’s narrative. Even after the session's conclusion, the participants continued to feel something that could not be verbalized because of the other’s alienness. Therefore, the interactions comprising the exchanging of Moyatto experiences can continue even without direct conversations, and such experiences can motivate participants to inquire about perspectives hitherto unknown to them. We postulate that this process can be regarded as Mederu, a Japanese sense of loving used by people to willingly observe and care for the diverse elements of others or materials. This transitional learning that transcends professional and disciplinary boundaries may need to recur at various points in a professional’s career, requiring more sustainable and stable educational resources. | | --- | | Keywords: Health Professionals, Love, Interprofessional Collaboration, Interprofessional Education, Continuing Education, Dialogue, Online meeting | Dialogic Pedagogy: An International Online Journal | [http:dpj.pitt.edu](http:dpj.pitt.edu) [DOI: 10.5195/dpj](DOI: 10.5195/dpj).2025.607 | Vol. 13 No. 1 (2025) PLC47 Dialogic interactions among multi-professionals in the context of online sessions Itsuki Sano, Mariko Morishita, Hiroshi Nishigori Itsuki Sano graduated from Sapporo Medical University in 2005 and became a Fellow of the Japanese Society of Psychiatry and Neurology (2007) and a Designated Physician of Mental Health by the Minister of Health, Labour and Welfare (2011) . He is now a Chief Psychiatrist at the Mie Prefectural Mental Care Center in Japan and a visiting researcher at the Center for Medical Education, Graduate School of Medicine, Nagoya University. He is involved in several projects concerning the implications of interprofessional (interdisciplinary) and social justice education on the practice of health professionals. His research interests include continuing professional development, social justice education, interprofessional education, and dialogical education. He is also a cartoonist and works on integrating textual and visual language in dialogue. Mariko Morishita is a medical education researcher and a family physician. She has been interested in an analogical relationship between anthropological fieldwork and building knowledge in doctoring through

FAQs

What is the focus of the study on online interprofessional sessions?

The study focuses on how healthcare professionals experience and articulate professional love through interprofessional dialogue, especially when discomfort arises in collaborative practice.

How is Moyatto defined in the document?

Moyatto is defined as emotional, cognitive, and physical distress that occurs when people face conflicting communication with others who hold different viewpoints and interests.

What mechanism helps professional learning continue after the online session ends?

Sharing Moyatto experiences without quid pro quo can create ongoing, partly unverbalized resonance, motivating participants to ask about perspectives that were previously unknown to them, conceptualized as Mederu.

Aug 20, 2026

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