Frankel1984
| Frankel1984 | |
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| BibType | ARTICLE |
| Key | Frankel1984 |
| Author(s) | Richard M. Frankel |
| Title | From sentence to sequence: Understanding the medical encounter through micro-interactional analysis |
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| Tag(s) | EMCA, Medical consultations |
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| Year | 1984 |
| Language | English |
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| Journal | Discourse Processes |
| Volume | 7 |
| Number | 2 |
| Pages | 135–170 |
| URL | Link |
| DOI | 10.1080/01638538409544587 |
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Abstract
This paper is an attempt to apply some recent theoretical advances in the anal- ysis of naturally-occurring speech activity to studies of physicians and patients in relationship to each other. Its major premise is that much of the work of medi- cine, particularly ambulatory care encounters, is language-based, and consists of the mutual participation of social actors (operating as speakers and hearers) in producing orderly exchanges of dialog. In this framework, the known properties of medicine as a clinical or organizational enterprise are suspended and placed instead within a more general cultural framework. As members of a culture, phy- sicians and patients are viewed not only as having knowledge of the world, they are faced with the practical interactional task of demonstrating that knowledge appropriately in the world. What this means is that in order to negotiate a medical encounter at all, the participants must have two types of knowledge; substantive or factual knowledge, and a means for detecting and displaying its connectedness to others through interactional or conversational means.
Notes
