Dillon2011

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Dillon2011
BibType ARTICLE
Key Dillon2011
Author(s) Patrick J. Dillon
Title Moral accounts and membership categorization in primary care medical interviews
Editor(s)
Tag(s) EMCA, Membership Categorization Analysis, Medical EMCA, Medical Interview, Accounts, Morality
Publisher
Year 2011
Language
City
Month
Journal Communication & Medicine
Volume 8
Number 3
Pages 211–222
URL Link
DOI 10.1558/cam.v8i3.211
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Although the link between health and morality has been well established, few studies have examined how issues of morality emerge and are addressed in primary care medical encounters. This paper addresses the need to examine morality as it is (re)constructed in everyday health care interactions. A Membership Categorisation Analysis of 96 medical interviews reveals how patients orient to particular membership categories and distance themselves from others as a means of accounting (Buttny 1993; Scott and Lyman 1968) for morally questionable health behaviours. More specifically, this paper examines how patients use membership categorisations in order to achieve specific social identity(ies) (Schubert et al. 2009) through two primary strategies: defensive detailing and prioritizing alternative membership categories. Thus, this analysis tracks the emergence of cultural and moral knowledge about social life as it takes place in primary care medical encounters.

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