The Dynamic Consultation: A discourse analytical study of doctor patient communication
This book introduces a unique model of medical discourse that identifies the forms of talk voices that doctors and patients use during the consultation, and studies the dynamic interaction as it unfolds particularly in follow-up visits. Natural recordings, semi-structured interviews, questionnaires and ethnographic observations provide the data for the research, which was carried out in an Outpatient Clinic in Santiago, Chile. Using an interactional sociolinguistic approach, analysis of the data identifies doctor patient communication as a micro-performance of broader socio-cultural realities, in which social status, power, knowledge and personal beliefs and values all find expression in the consultative setting. Importantly, while both doctor and patient voices are shown to contribute to an essentially asymmetrical exchange, the study also identifies the holistic and empathic Fellow Human voice, which places doctors and patients on a more equal footing. In connection with this voice, the Spanish concept of simpatía is also discussed.While the model in this study was developed within a specific socio-cultural framework, it is hoped that it will be adapted and modified more widely and contribute to a better understanding between doctors and their patients.
What people are saying - Write a review
We haven't found any reviews in the usual places.
3 Doctorpatient communication
4 The Doctor voice
5 The Educator voice
6 The Fellow Human voice
7 Patients voices
Other editions - View all
afﬁliative alignment assessment asymmetry behaviour Berta Carlos Carmen Chapter Chile Chilean Clinic Communicating medical compliance conditional mood conﬂict Consultation N context conversation conversation analysis Cordella critical discourse analysis Daniel deﬁned difﬁculties discomfort discourse analysis discourse marker discourse strategies doctor and patient Doctor voice doctor—patient communication dynamic Educator voice empathy entonce episode Example exchange Fanshel feel Fellow Human voice female patients ﬁeld ﬁnd ﬁndings ﬁrst Fisher forms of talk framework frequency functions gender Giddens Goffman Gumperz health condition Health-related storytelling ical identiﬁed individual inﬂuence interac interaction interpreted knowledge Language linguistic male patients medical consultation medical discourse medical interview medicine médico Monash University Olga participants person psychotherapy reﬂect response role simpatia Social Communicator socio-cultural speaker speciﬁc speech stories taking test results there’s tients tion treatment and management understanding Uste voice of Competence voice of Initiator Wodak Yeah