Nishizaka2010a
Nishizaka2010a | |
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BibType | ARTICLE |
Key | Nishizaka2010a |
Author(s) | Aug Nishizaka |
Title | Self-initiated problem presentation in prenatal checkups: its placement and construction |
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Tag(s) | EMCA, Medical EMCA, Prenatal, Problem presentation |
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Year | 2010 |
Language | English |
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Journal | Research on Language and Social Interaction |
Volume | 43 |
Number | 3 |
Pages | 283–313 |
URL | Link |
DOI | 10.1080/08351813.2010.497992 |
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Abstract
Unlike primary care acute visits, which are occasioned by a matter of concern to the patient, regular prenatal checkups provide no structural positions for presenting problems that they wish to discuss. I find that there does nevertheless seem to be a systematic sequential position (namely, where an incipient activity is in progress) at which pregnant women can and do raise their concerns. I examine the defensive and evidence-sensitive nature of the construction of the problem presentations initiated at this position. I thereby demonstrate the mutual dependence between the position and construction of problem presentations. The position and construction of presentations are consequential to the way in which health-care professionals respond to them; they may engender a cycle where the pregnant woman (re)attempts to legitimize her original problem presentation and the health-care professional (re)attempts to confirm her or his no-problem response. In conclusion, I discuss some implications of the present study for the study of medical interaction in particular and the study of human interaction in general.
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