Gafaranga2004
| Gafaranga2004 | |
|---|---|
| BibType | ARTICLE |
| Key | Gafaranga2004 |
| Author(s) | Joseph Gafaranga, Nicky Britten |
| Title | Formulation in general practice consultations |
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| Tag(s) | EMCA, Medical EMCA, Formulations, General Practice, Medical consultations |
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| Year | 2004 |
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| Journal | Text |
| Volume | 24 |
| Number | 2 |
| Pages | 147–170 |
| URL | Link |
| DOI | 10.1515/text.2004.006 |
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Abstract
Formulation (Garfinkel and Sacks 1970) is reported to be a very common phenomenon in institutional talk (Drew 2003). It is also known to be organized differently and to accomplish different interactional tasks depending on the type of talk in which it occurs. In this article, we describe the organization and the function of formulation in doctor–patient interaction, focusing specifically on general practice consultations. The data we draw on come from a corpus of GP consultations collected in the Midlands and Southeast of England. Observation of the data revealed that two types of formulation, namely formulating summary and action formulation, are routinely accomplished in doctor–patient interaction. It further revealed that the two types contrast in many respects. For example, while formulating summaries can appear anywhere in the consultation, action formulations appear towards the end of the consultation; while formulating summaries are topic closing implicative, action formulation are used to negotiate orderly exit from the conversation as a whole. Similarly while, in doing formulating summaries, participants orientate towards mutual understanding, in doing action formulation, they orientate towards acceptance of the agreed upon future action. In concluding the discussion, we go beyond description and reflect on implications of such a detailed understanding of the organization of formulation for current models of doctor–patient inter- action, which emphasize mutuality rather than paternalism.
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