Communication in Medical Care: Interaction Between Primary by John Heritage, Douglas W. Maynard PDF

By John Heritage, Douglas W. Maynard

ISBN-10: 0511225954

ISBN-13: 9780511225956

ISBN-10: 0521621232

ISBN-13: 9780521621236

Supplying a entire dialogue of conversation among medical professionals and sufferers in basic care consultations, this quantity brings jointly a crew of major members from the fields of linguistics, sociology and drugs to explain each one section of the first care session. The authors use dialog research innovations to research the sequential unfolding of a trip and describe the dilemmas and conflicts confronted by means of physicians and sufferers as they paintings throughout the stopover at. the result's a view of the clinical stumble upon that unearths the point of view of either physicians and sufferers rationally. .

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Extra resources for Communication in Medical Care: Interaction Between Primary Care Physicians and Patients

Example text

For a review of What’s new? in mundane contexts, see Button and Casey (1984, 1985). Soliciting patients’ presenting concerns 37 The first of these trajectories can be seen in Extract (8). This routine visit is organized around monitoring a variety of medical issues concerning the patient’s lungs, heart, blood pressure, vision, and hearing. ” (line 33). mtch=anything new? hh An’ I never had that before=uh course I’ve had trouble with this ear for quite a whi:le . . 9) We’ll j’st keep an eye on things.

To illustrate this role for sequence organization, we will focus on sequences in which physicians offer diagnoses and make treatment recommendations. A substantial body of CA research has shown that physicians and patients treat the management of diagnosis and treatment discussions in sequentially distinctive ways. Diagnoses tend to be offered and accepted “on authority” and ordinarily do not attract significant overt acknowledgment or “acceptance” by patients (Heath 1992; ¨ a¨ 1998, 2002, this volume; Stivers 2000, 2005a, 2005b, Perakyl this volume), although when diagnostic news is bad, silence also may be a patient’s exhibit of stoicism (Maynard 2003).

Yes. ) O:ka:y. ” (line 9). ” (lines 11–14; for formulations, see Garfinkel and Sacks 1970; Heritage and Watson 1979). The physician’s formulation seeks to confirm that the patient’s response was an evaluation of her high blood pressure condition. At line 15, the patient confirms that formulation. ” was designed to solicit an evaluation of a particular, ongoing, physical-health condition. Quantitative results for follow-up-concern question formats The data contain 15 cases where patients are visiting physicians for follow-up presenting concerns.

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Communication in Medical Care: Interaction Between Primary Care Physicians and Patients by John Heritage, Douglas W. Maynard


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