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Physician-elderly patient interactio...

Eggly, Susan Schottenfels.

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Physician-elderly patient interactions: The co-construction of illness narratives.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Physician-elderly patient interactions: The co-construction of illness narratives./
作者:	Eggly, Susan Schottenfels.
面頁冊數:	221 p.
附註:	Source: Dissertation Abstracts International, Volume: 61-01, Section: A, page: 0026.
Contained By:	Dissertation Abstracts International61-01A.
標題:	Gerontology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9954503
ISBN:	9780599582736

Physician-elderly patient interactions: The co-construction of illness narratives.
Eggly, Susan Schottenfels.

Physician-elderly patient interactions: The co-construction of illness narratives. - 221 p.

Source: Dissertation Abstracts International, Volume: 61-01, Section: A, page: 0026.

Thesis (Ph.D.)--Wayne State University, 1999.

The current trend in medical history-taking calls for physicians to encourage patients to tell the story of their illness in narrative form This dissertation examines the structure and function of the narratives that emerge out of medical interviews of physicians and elderly patients. Two assumptions underlie this research: first, there is a strong human tendency to make sense of the world through storytelling and second, meaning arises out of social interaction. This research considers two questions: (1) what are the symbolic activities that doctors and elderly patients use to co-construct narratives in medical interviews; and (2) what themes emerge from narratives within physician-elderly patient interactions in medical interviews?

ISBN: 9780599582736Subjects--Topical Terms:

533633
Gerontology.

Physician-elderly patient interactions: The co-construction of illness narratives.
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245 1 0 $a Physician-elderly patient interactions: The co-construction of illness narratives.
300 $a 221 p.
500 $a Source: Dissertation Abstracts International, Volume: 61-01, Section: A, page: 0026.
500 $a Adviser: Jack Kay.
502 $a Thesis (Ph.D.)--Wayne State University, 1999.
520 $a The current trend in medical history-taking calls for physicians to encourage patients to tell the story of their illness in narrative form This dissertation examines the structure and function of the narratives that emerge out of medical interviews of physicians and elderly patients. Two assumptions underlie this research: first, there is a strong human tendency to make sense of the world through storytelling and second, meaning arises out of social interaction. This research considers two questions: (1) what are the symbolic activities that doctors and elderly patients use to co-construct narratives in medical interviews; and (2) what themes emerge from narratives within physician-elderly patient interactions in medical interviews?
520 $a The research is conducted in an urban outpatient clinic staffed by resident physicians, the majority of whose patients are elderly and African-American. A total of 21 videotaped and transcribed medical interviews comprise the data A total of 62 narratives were ultimately identified from the transcripts through an adaptation of earlier definitions from the literature and a broader definition that was suggested by the current data.
520 $a The qualitative method known as conversation analysis is used in this research, with the assistance of QSR NUDIST, a qualitative research software package. The analysis answers to the first research question by accounting for narratives that emerge from the interviews in a non-traditional from. These narratives challenge our understanding of narrative form and suggest a new definition which encompasses the notion that meaning is created through social interaction. This definition asserts that narrative is the discursive co-construction of a chronology of events that describe a meaningful experience. The analysis answers the second research question by identifying three major themes that emerged from the narratives: the narrative co-construction of medical explanations, patient and physician roles, and the patient's social identity.
520 $a The findings of this research have far-reaching implications for many areas of research including interpersonal and small group communication, narrative analysis, and medical education for health care providers and patients. Additionally, this dissertation raises questions and provide a revised theoretical foundation and method through which to explore the social construction of meaning and narrative form in contexts that have never before been studied.
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