Turowetz-Maynard2018

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Turowetz-Maynard2018
BibType ARTICLE
Key Turowetz-Maynard2018
Author(s) Jason Turowetz, Douglas W. Maynard
Title Narrative Methods for Differential Diagnosis in a Case of Autism
Editor(s)
Tag(s) EMCA, autism, sociology of diagnosis, narrative, conversation analysis
Publisher
Year 2018
Language English
City
Month
Journal Symbolic Interaction
Volume 41
Number 3
Pages 357–383
URL
DOI 10.1002/SYMB.344
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Diagnosis is rarely a straightforward process. This is especially so in psychiatry, where diagnoses are not based on organic biomarkers (e.g., blood tests). Diagnosis can be particularly complicated for children, whose symptoms must be disentangled from typical developmental processes. In this paper, we examine how clinicians use narrative as a method for differentiating a child’s autism from a possible co-morbid seizure disorder. Our approach is conversation analysis, and we show that narrative is a pervasive and endogenous practice for producing warrantable diagnostic knowledge about patients and, as such, forms part of what we term “the practical epistemology of clinical work.”

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