Difference between revisions of "Turowetz2015"
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|BibType=ARTICLE | |BibType=ARTICLE | ||
|Author(s)=Jason Turowetz; | |Author(s)=Jason Turowetz; | ||
− | |Title=The | + | |Title=The interactional production of a clinical fact in a case of autism |
|Tag(s)=EMCA; Medical; Autism; Diagnosis; Storytelling; | |Tag(s)=EMCA; Medical; Autism; Diagnosis; Storytelling; | ||
|Key=Turowetz2015 | |Key=Turowetz2015 | ||
|Year=2015 | |Year=2015 | ||
+ | |Language=English | ||
|Journal=Qualitative Sociology | |Journal=Qualitative Sociology | ||
|Volume=38 | |Volume=38 |
Latest revision as of 09:28, 13 December 2019
Turowetz2015 | |
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BibType | ARTICLE |
Key | Turowetz2015 |
Author(s) | Jason Turowetz |
Title | The interactional production of a clinical fact in a case of autism |
Editor(s) | |
Tag(s) | EMCA, Medical, Autism, Diagnosis, Storytelling |
Publisher | |
Year | 2015 |
Language | English |
City | |
Month | |
Journal | Qualitative Sociology |
Volume | 38 |
Number | 1 |
Pages | 57–78 |
URL | Link |
DOI | 10.1007/s11133-014-9294-8 |
ISBN | |
Organization | |
Institution | |
School | |
Type | |
Edition | |
Series | |
Howpublished | |
Book title | |
Chapter |
Abstract
The authority to diagnose is a distinguishing prerogative of modern medicine. While a growing body of research addresses various aspects of diagnosis, few studies analyze just how it is achieved through talk-in-interaction. This paper examines how clinicians assembled a diagnosis of a child who was evaluated for autism. Drawing on audio and video recordings at a clinic for developmental disabilities, I use a combination of ethnomethodology and conversation analysis to show how a critical fact about the child’s mental functioning was formulated, challenged, and transformed across three consecutive stages of his evaluation: (1) testing, (2) a case conference among clinicians, and (3) an informing interview where the diagnosis was delivered to the parents. I analyze how this fact emerged as an outcome of clinician-child interactions, and how clinicians used storytelling to render its diagnostic implications. In addition to examining how these stories are methodically produced, I argue that they frame the child’s behavior in ways that suggest a lack of competence while eliding the skills and competencies he may have been displaying.
Notes