Lehtinen2005b

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Lehtinen2005b
BibType ARTICLE
Key Lehtinen2005b
Author(s) Esa Lehtinen, Helena Kääriäinen
Title Doctor's expertise and managing discrepant information from other sources in genetic counseling: a conversation analytic perspective
Editor(s)
Tag(s) EMCA, Conversation Analysis, Discrepancies, Expertise, Information Delivery, Genetic Counseling, Medical EMCA
Publisher
Year 2005
Language
City
Month
Journal Journal of Genetic Counseling
Volume 14
Number 6
Pages 435–451
URL Link
DOI 10.1007/s10897-005-6453-9
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

The study examines a recurrent interactional pattern in genetic counseling. It describes clinical geneticists' responses in situations in which clients have presented information from other sources that is potentially discrepant with information given by the doctor. The data consists of 12 video-recorded sessions of genetic counseling in Finland, and the method is conversation analysis. There are two primary ways the doctors respond: either they accept the client's information as such, but show that it is not discrepant with the doctor's information, or they reject the client's information. In the latter case they mitigate the ‘wrongness’ of the client's information. The clinical geneticists seem to be working with a dilemma: they need to find a balance between ensuring correct understanding of the information and showing respect for the expertise of others. A particularly complex case is also analyzed and reflected on.

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