Anzeige des vollständigen DOI-Metadaten-Sets
Cite as
-
Vollständiger Titel
SALUTE E SOCIETÀ
-
Verlag
FrancoAngeli
-
ISSN
1723-9427 (Gedruckte Zeitschrift)
1972-4845 (Online-Zeitschrift)
-
Nummer der Ausgabe
1
-
Andere Beschreibung der Ausgabe
1EN
-
Erscheinungsdatum der Ausgabe (YYYY/MM)
2013/06
-
Vollständiger Titel
Reducing asymmetry in doctor-patient interaction: patients' initiatives in specialised clinical encounters
-
Von (Autor)
-
Erste Seite
23
-
Letzte Seite
40
-
Sprache des Textes
Englisch
-
Erscheinungsdatum
2013/06
-
Copyright
2013 FrancoAngeli srl
Vorwort
This study identifies a specific multimodal practice that patients use during medical encounters with a team of doctor in an Italian specialized centre for prosthesis construction and application. Focusing on the early stages of these encounters, the paper analyses the way in which patients delicately orchestrate their gaze, gesture and verbal behaviour to gain some extra speaking space, beyond that of mere respondents to doctors' questions. By using Conversation Analysis, we show that patients produce this recurrent multimodal pattern, in methodically produced and recognizable ways. Patients manage to acquire the interactional role of "action initiators"; thus constraining doctors to respond: for instance, by producing unrequested information about their health status, by correcting implicit assumptions in the doctors' questions, or by producing independent assessments. The paper contributes to previous research on patients' agency and initiative, revising the notion of asymmetry in medical settings and highlighting the active role of the patient in every stage of these encounters.
Zitierungen des
10.3280/SES2013-001003EN
Unstructured Zitierung
Atkinson J. M. and Heritage J., editors (1984). Structures of Social Actions: Studies in Conversation Analysis. Cambridge: Cambridge University Press
Unstructured Zitierung
Brown P., Levinson S. (1987). Politeness: Some Universals in Language Usage. Cambridge: Cambridge University Press.
Unstructured Zitierung
Brown P., Levinson S. (1987). Politeness: Some Universals in Language Usage. Cambridge: Cambridge University Press.
Unstructured Zitierung
Caffi C. (2001). La mitigazione. Un approccio pragmatico alla comunicazione nei contesti terapeutici. Münster: LIT Verlag
Unstructured Zitierung
Drew P. and Heritage J. editors (1992). Talk at Work: Interaction in Institutional Settings (Studies in Interactional Linguistics). Cambridge: Cambridge University Press
Unstructured Zitierung
Gili Fivela B. e Bazzanella C., editors (2009). Fenomeni di intensità nell’italiano parlato. Firenze: Franco Cesati Editore
Unstructured Zitierung
Gill V. (1998). Doing attributions in medical interaction: Patients' explanations for illness and doctors' responses. Social Psychology Quarterly, 61, 4: 342
Unstructured Zitierung
Gill V., Maynard D. (2006). Patients' Explanations for Health problems and physicians' Responsiveness in the Medical Interview. In: Heritage J. and Maynard D., editors, Communication in Medical Care: Interaction between Primary Care Physicians and Patients (Studies in Interactional Sociolinguistics).Cambridge: Cambridge University Press.
Unstructured Zitierung
Have ten P. (1991). Talk and institution: A reconsideration of the ``asymmetry'' of doctor-patient interaction. In: Boden D. and Zimmerman D. H., editors, Talk and Social Structure: Studies in Ethnomethodology and Conversation Analysis. Los Angeles, California: University of California Press.
Unstructured Zitierung
Pomerantz A. (1984). Agreeing and disagreeing with assessments: some features of preferred/dispreferred turn shapes. In: Atkinson J. M. and Heritage J., editors, Structures of Social Actions: Studies in Conversation Analysis. Cambridge: Cambridge University Press