Heritage2009a

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Heritage2009a
BibType INCOLLECTION
Key Heritage2009a
Author(s) John Heritage
Title Questioning in medicine
Editor(s) Alice F. Freed, Susan Ehrlich
Tag(s) EMCA, Conversation Analysis, Medical EMCA, Questioning
Publisher Oxford University Press
Year 2009
Language
City New York
Month
Journal
Volume
Number
Pages 42–68
URL Link
DOI 10.1093/acprof:oso/9780195306897.003.0003
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title “Why Do You Ask?”: The Function of Questions in Institutional Discourse
Chapter

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Abstract

This chapter, written by John Heritage, provides an overview of the author's main findings on questioning in doctor‐patient interactions. Heritage pays particular attention to the way that questions in medical contexts are designed to communicate information about doctors' expectations and beliefs and thereby limit the way that patients can appropriately respond. Heritage identifies two principles of medical questioning that illustrate this phenomenon of recipient design: optimization and problem attentiveness. He argues that the principle of optimization, that is, designing questions so that they grammatically “prefer” a “no‐problem” response, is the default principle of medical questioning; such optimized questions encourage patients to produce responses that confirm optimistic beliefs about their health. By contrast, in certain situations (e.g., when a patient presents with a particular problem) the principle of problem attentiveness informs the design of questions; that is, the questions presuppose that a particular health problem exists rather than encouraging a no‐problem response.

Notes