OGrady-Dahm-Roger-Yates2014

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OGrady-Dahm-Roger-Yates2014
BibType ARTICLE
Key OGrady-Dahm-Roger-Yates2014
Author(s) Catherine O'Grady, Maria R. Dahm, Peter Roger, Lynda Yates
Title Trust, talk and the dictaphone: Tracing the discursive accomplishment of trust in a surgical consultation
Editor(s)
Tag(s) EMCA, Medical, Applied conversational analysis, consultation letters, discourse analysis, interactional socio-linguistics, medicine, surgical consultations
Publisher
Year 2014
Language
City
Month
Journal Discourse & Society
Volume 25
Number 1
Pages 65–83
URL Link
DOI 10.1177/0957926513496354
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Using discourse analytical methods, this article examines the interactional accomplishment of trust. Focusing on a case study drawn from a corpus of 28 surgical consultations collected in a gastro-intestinal clinic, it traces the trust-building process in a specific, communicatively challenging encounter where the patient is seeking a second opinion following an operation that she deems unsuccessful. Discourse analytical findings make visible the doctor’s strategic interactional work to build interpersonal trust with the patient and to regain her trust in the surgical profession. This work extends beyond interaction with the patient to include dictation of a letter to the referring doctor in the patient’s presence. Close analysis of the encounter reveals how this co-constructed consultation letter is deployed to strengthen the fragile patient–doctor trust engendered thus far. The article therefore provides insights into the discursive processes of trust building that could potentially be of considerable practical relevance to the medical profession.

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