TenHave2001b

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TenHave2001b
BibType ARTICLE
Key TenHave2001b
Author(s) Paul ten Have
Title Lay Diagnosis in Interaction
Editor(s)
Tag(s) Conversation Analysis, Medical EMCA, doctor-patient interaction, lay diagnosis, patient concerns
Publisher
Year 2001
Language
City
Month
Journal Text
Volume 21
Number 1-2
Pages 251–260
URL Link
DOI 10.1515/text.1.21.1-2.251
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

This article starts with a discussion of the somewhat paradoxical character of the concept of ‘lay diagnosis’, as it suggests that lay persons could fulfill such a specific professional task. It is used here as indicating any kind of verbal contributions patients could make to the diagnostic process. Within the research on doctor–patient interaction, two different trends are distinguished, one focussing on how physicians' behavior is inviting, allowing, or discouraging patients from expressing their ideas and feelings, while the other presents an overall structural view of medical encounters ‘as a genre’ in itself. The latter perspective is elaborated at some length as offering at least a partial elucidation of the findings of the first concerning the effects of physicians' conduct of the consultation. The interactional significance of ‘lay diagnostic’ contributions seem to differ according to the phase of the consultation in which they are offered. In the conclusions, some implications for future research and practice are suggested, including an extension of the research agenda to include both pre- and post-clinical lay discussions of diagnostic concerns.

Notes