Monzoni-Reuber2015

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Monzoni-Reuber2015
BibType INCOLLECTION
Key Monzoni-Reuber2015
Author(s) Chiara M. Monzoni, Markus Reuber
Title Linguistic and interactional restrictions in an outpatient clinic: The challenge of delivering the diagnosis and explaining the aetiology of functional neurological problems
Editor(s) Fabienne H. G. Chevalier, John Moore
Tag(s) EMCA, Medical consultations, Diagnosis
Publisher John Benjamins
Year 2015
Language English
City Amsterdam / Philadelphia
Month
Journal
Volume
Number
Pages 239–270
URL Link
DOI 10.1075/pbns.255.08mon
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title Producing and Managing Restricted Activities: avoidance and withholding in institutional interaction
Chapter 8

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Abstract

Interactions with patients with functional neurological symptoms are considered particularly difficult by doctors. In keeping with this, neurologists orient to the challenging nature of these consultations by employing self-selected restricted linguistic and interactional practices through which they deliberately avoid the use of more direct and explicit resources. The use of restricted practices is correlated to patients’ resistance. Neurologists try to anticipate and pre-empt their patients’ resistance, or they manage it as it emerges during the consultations, to try and minimize disaffiliation and maximize patients’ alignment with their explanations. Restricted practices and avoidance display extreme caution on the part of the neurologists throughout these consultations and constitute the trademark of these interactions.

Notes