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

By John Heritage, Douglas W. Maynard

Supplying a accomplished dialogue of communique among medical professionals and sufferers in fundamental care consultations, this quantity brings jointly a workforce of best individuals from the fields of linguistics, sociology and medication to explain every one part 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 via physicians and sufferers as they paintings during the stopover at. the result's a view of the scientific stumble upon that finds the point of view of either physicians and sufferers rationally. .

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Sample text

Robinson you feeling? Researchers have included How are you feeling? -type questions, including How are you? and How are you doing? (Frankel 1995b; Jefferson 1980b). , Great, Fine, and Terrible) (Jefferson 1980b; Sacks 1975), they nonetheless accomplish different actions (Button and Casey 1985; Coupland et al. 1994; Jefferson 1980b; Schegloff 1986). On the surface, How are you feeling? may appear to be open-ended and social (vs. medical). In contrast, this chapter argues that How are you feeling?

Heritage and Sorjonen 1994). , sinuses vs. headaches or sneezing) of the patient’s general, sinus-related condition, the physician displays that her “How are you feelin’ toda:y” was designed to solicit an evaluation of a particular, ongoing, physical-health condition. For another example, see Extract (7). In the previous visit, the patient had been ill due to high blood pressure. During that visit, the physician attempted to control the blood pressure by increasing the patient’s prescription of a drug named Chlonadine.

The question format What’s new? operates differently in medical versus mundane contexts. 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 .

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