Claiming Power in Doctor-Patient Talk
1998
Online
E-Book
Zugriff:
Nancy Ainsworth-Vaughn studied stories, topic control,'true'questions, and rhetorical questions in 101 medical encounters in US private-practice settings. In exceptionally lucid and accessible style, Ainsworth-Vaughn explains how power was claimed by and co-constructed for both patients and doctors (previous studies have focused upon doctors'power). The discourse varied along a continuum from interview-like talk to conversational talk. Six chapters are organized around data and include extended examples of actual talk in detailed transcription; four of these data-oriented chapters focus upon dynamic, moment-to-moment use of speech activities in emerging discourse, such as doctors'and patients'stories that co-constructed selves, and a patient's sexual rhetorical questions. Two more chapters offer non-statistical quantitative data on the frequency of questioning and sudden topic changes in relation to gender, diagnosis, and other factors. Contributing to discourse theory, Ainsworth-Vaughn significantly modifies previous definitions for topic transitions and rhetorical questions and discovers the role of storytelling in diagnosis. The final chapter provides implications for physicians and medical educators.
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Claiming Power in Doctor-Patient Talk
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Autor/in / Beteiligte Person: | Ainsworth-Vaughn, Nancy |
Veröffentlichung: | 1998 |
Medientyp: | E-Book |
ISBN: | 978-0-19-509606-4 (print) ; 978-0-19-509607-1 (print) ; 978-1-4237-6527-1 (electronic) ; 978-0-19-535725-7 (electronic) |
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