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The organization of patients' explan...

Gill, Virginia Teas.

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The organization of patients' explanations and doctors' responses in clinical interaction.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	The organization of patients' explanations and doctors' responses in clinical interaction./
作者:	Gill, Virginia Teas.
面頁冊數:	215 p.
附註:	Source: Dissertation Abstracts International, Volume: 56-05, Section: A, page: 1992.
Contained By:	Dissertation Abstracts International56-05A.
標題:	Sociology, General. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9524505

The organization of patients' explanations and doctors' responses in clinical interaction.
Gill, Virginia Teas.

The organization of patients' explanations and doctors' responses in clinical interaction. - 215 p.

Source: Dissertation Abstracts International, Volume: 56-05, Section: A, page: 1992.

Thesis (Ph.D.)--The University of Wisconsin - Madison, 1995.

This conversation analytic study investigates an aspect of doctor-patient communication: how patients produce causal explanations for their health problems and how doctors respond to these explanations. I analyze audio and video recordings of doctor-patient interactions collected in an outpatient medical clinic and describe how explanation-response sequences are organized as interactive, social phenomena. I find that patients use conversational strategies to avoid casting themselves as authoritative or legitimate sources of causal explanations for their health problems. When they offer explanations in an explicit manner, patient use strategies to downplay what they know about causation, such as disclaiming and qualifying their explanations and attributing them to third parties. Patients also provide causal explanations implicitly, juxtaposing reported events and circumstances to descriptions of health problems so that they are officially "reporting" rather than "explaining." In various ways, patients provide doctors with opportunities to incorporate their explanations into information-gathering sequences rather than to confirm or disconfirm what patients know about causation. For their part, doctors do take these opportunities. In their responses, they bypass assessing or even acknowledging patients' causal explanations but do solicit descriptions of patients' problems. Patients and doctors thereby delimit what patients can legitimately know about their health problems, confining it to what patients experience and observe (empirical knowledge) rather than what they infer from their experiences and observations (theoretical knowledge). It is through these social activities and others that an asymmetrical distribution of knowledge becomes an observable feature of doctor-patient interaction.Subjects--Topical Terms:

1017541
Sociology, General.

The organization of patients' explanations and doctors' responses in clinical interaction.
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520 $a This conversation analytic study investigates an aspect of doctor-patient communication: how patients produce causal explanations for their health problems and how doctors respond to these explanations. I analyze audio and video recordings of doctor-patient interactions collected in an outpatient medical clinic and describe how explanation-response sequences are organized as interactive, social phenomena. I find that patients use conversational strategies to avoid casting themselves as authoritative or legitimate sources of causal explanations for their health problems. When they offer explanations in an explicit manner, patient use strategies to downplay what they know about causation, such as disclaiming and qualifying their explanations and attributing them to third parties. Patients also provide causal explanations implicitly, juxtaposing reported events and circumstances to descriptions of health problems so that they are officially "reporting" rather than "explaining." In various ways, patients provide doctors with opportunities to incorporate their explanations into information-gathering sequences rather than to confirm or disconfirm what patients know about causation. For their part, doctors do take these opportunities. In their responses, they bypass assessing or even acknowledging patients' causal explanations but do solicit descriptions of patients' problems. Patients and doctors thereby delimit what patients can legitimately know about their health problems, confining it to what patients experience and observe (empirical knowledge) rather than what they infer from their experiences and observations (theoretical knowledge). It is through these social activities and others that an asymmetrical distribution of knowledge becomes an observable feature of doctor-patient interaction.
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