Beach2001c

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Beach2001c
BibType ARTICLE
Key Beach2001c
Author(s) Wayne A. Beach, Christie N. Dixon
Title Revealing moments: Formulating understandings of adverse experiences in a health appraisal interview
Editor(s)
Tag(s) Medical EMCA, Conversation Analysis, Medical Interview
Publisher
Year 2001
Language
City
Month
Journal Social Science & Medicine
Volume 52
Number 1
Pages 25–44
URL Link
DOI 10.1016/S0277-9536(00)00118-0
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Analysis of a health appraisal interview reveals how an interviewer employs formulations to organize talk about a patient’s medical history. When selected reportings by patient are paraphrased, a three-part formulations cycle is initiated: (1) interviewer’s formulated understandings, (2) patient’s confirmation, and (3) topic shift by interviewer. The reenactment of this interactional pattern promotes increasing attention to patient’s adverse experiences as “root problems” underlying adult health status (e.g. molestation, obesity, depression). Creating an environment for patient’s emergent disclosures is facilitated by displaying non-judgmental sensitivity to patient’s stated concerns, soliciting alignment to particular reconstructions and avoidance of moving the interview forward prematurely and to issues not grounded in patient’s illness circumstances. The identification and utilization of communication techniques for attending to patient’s bio-psycho-social history is critical for refining understandings of empathic interviewing, enhancing diagnosis and treatment (e.g. referrals), decreasing patients’ utilization of health care systems, and ultimately reducing costs for quality medical care.

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