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

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By John Heritage, Douglas W. Maynard

Delivering a accomplished dialogue of communique among medical professionals and sufferers in basic care consultations, this quantity brings jointly a group of prime participants from the fields of linguistics, sociology and medication to explain every one section of the first care session. The authors use dialog research strategies to investigate the sequential unfolding of a trip and describe the dilemmas and conflicts confronted by way of physicians and sufferers as they paintings throughout the stopover at. the result's a view of the clinical stumble upon that finds the viewpoint of either physicians and sufferers rationally. .

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

Sample text

Maintain, adjust, or alter) any broader or more generally prevailing sense of context which is the object of the participants’ orientations and actions. That is, the doubly contextual quality of utterances contributes to the “larger” interactional environment or overall activity (such as the medical interview) within which these utterances make their step-by-step appearance. ” Another reason why conversation analysts avoid initial considerations of how attributes like race, class, and gender affect conversational interaction is that any initial dealing with these kinds of abstractions eviscerates the detail that is involved in the orderly achievement of mutual understanding.

Acute care doctor–patient interactions (interactions involving the presentation of a new medical problem) thus have a highly structured overall organization (Byrne and Long 1976; Robinson 1998, 2001b, 2003). Although this structure is a great deal more complex than the structure of some other kinds of task-focused interactions – for Introduction 15 example, 911 emergency calls (Zimmerman 1992) – and is subject to a great deal more variation, doctors’ and patients’ conduct can be examined for how they orient and negotiate the boundaries of each of the main activity components (Heritage 1997).

Nonetheless, this chapter errs on the side of caution when it describes How are you feeling? ” 32 Jeffrey D. , but rather further specify and/or clarify the conditions being inquired into. For another example, see Extract (5), drawn from a mundane telephone conversation between two friends, Helen and Joyce. = =Oh fi:ne. ’Cause- I think Doreen mentioned that you weren’t so well? ] [ Ye:ah, ] Couple of weeks ago. Ye:ah. And you’re alright no: [w? [Yeah. Prior to this conversation, Helen has been informed by a third party, Doreen, that Joyce is ill.

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