West1990

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West1990
BibType ARTICLE
Key West1990
Author(s) Candace West
Title Not Just “Doctors” Orders': Directive-Response Sequences in Patients' Visits to Women and Men Physicians
Editor(s)
Tag(s) conversation analysis, directives, doctors, medical discourse, men, patients, physicians, speech acts, women
Publisher
Year 1990
Language
City
Month
Journal Discourse & Society
Volume 1
Number 1
Pages 85–112
URL Link
DOI 10.1177/0957926590001001005
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

In this paper, I draw on Goodwin's (1980, 1988, in press) research on directive-response speech sequences to examine how physicians formulate their directives to patients and how patients respond to those directives. My analysis of encounters between patients and family physicians indicates that women and men physicians issue their directives in dramatically different ways, and that their alternative formulations have consequences for patients' responses. Some directives are more likely than others to elicit compliant responses, and women physicians employ these more often than men do. In discussing these results, I consider their relationship to the issue of patient adherence more generally and to the quality of patients' relationships with women and men physicians.

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