The Dynamic Consultation: A Discourse Analytical Study of Doctor-patient CommunicationThis 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. |
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Contents
CHAPTER | 1 |
CHAPTER 9 | 24 |
CHAPTER 3 | 41 |
CHAPTER 4 | 63 |
The Educator voice | 87 |
CHAPTER 6 | 121 |
CHAPTER 7 | 149 |
The Dynamic Consultation | 189 |
CHAPTER 8 | 196 |
CHAPTER 10 | 217 |
Aproximate total word count of doctors and patients | 235 |
Appendix 5b Explanatory statement for patient and doctor | 244 |
250 | |
Other editions - View all
The Dynamic Consultation: A Discourse Analytical Study of Doctor-patient ... Marisa Cordella No preview available - 2004 |
Common terms and phrases
affiliation ahora alignment assessment asymmetry behaviour Berta bien Carlos Carmen chapter Chile Chilean Claro Clinic Communicating medical compliance conditional mood conversation Cordella Critical discourse analysis Daniel día discourse analysis discourse markers discourse strategies doctor and patient Doctor n Doctor voice doctor-patient communication Educator voice empathy entonce episode Example exchange Fanshel feel Fellow Human voice female patients forms of talk framework frequency function gender Goffman Gumperz health condition Health-related storytelling ical individual interac interaction interpreted joint production linguistic male doctors male patients medical consultation medical discourse medical interview medicine médico Monash University Nº 13 Doctor Olga participants pattern response role semi-structured interview simpatía Social Communicator socio-cultural socio-relational speech stories Table taking test results tients tion treatment and management understanding Uste utterance completion voice of Competence voice of Health-related voice of Initiator Wodak Yeah Yolanda
References to this book
Stance in Talk: A Conversation Analysis of Mandarin Final Particles Ruey-Jiuan Wu Limited preview - 2004 |