Nishizaka2010a

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Nishizaka2010a
BibType ARTICLE
Key Nishizaka2010a
Author(s) Aug Nishizaka
Title Self-initiated problem presentation in prenatal checkups: its placement and construction
Editor(s)
Tag(s) EMCA, Medical EMCA, Prenatal, Problem presentation
Publisher
Year 2010
Language English
City
Month
Journal Research on Language and Social Interaction
Volume 43
Number 3
Pages 283–313
URL Link
DOI 10.1080/08351813.2010.497992
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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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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