Theme-oriented discourse analysis of medical encounters

Approach Theme‐oriented discourse analysis looks at how language constructs professional practice. Recordings of naturally occurring interactions are transcribed and combined with ethnographic knowledge. Analytic themes drawn primarily from sociology and linguistics shed light on how meaning is neg...

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Vydáno v:	Medical education Ročník 39; číslo 6; s. 632 - 640
Hlavní autoři:	Roberts, Celia, Sarangi, Srikant
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Oxford, UK Blackwell Science Ltd 01.06.2005 Blackwell Wiley Subscription Services, Inc
Témata:	Clinical Competence - standards Communication Curriculum subjects: programmes and methods Decision Making education Education, Medical, Undergraduate - methods Educational sciences Genetic Counseling medical Medical and paramedical education physician−patient relations Primary Health Care students Students, Medical Teaching methods undergraduate/psychology Wales Wales Medicine Decision Making Skill medical education Psychology Doctor-patient relation undergraduate/ psychology; communication; students medical; clinical competence/standards; physician-patient relations; decision making Communication
ISSN:	0308-0110, 1365-2923
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Shrnutí:	Approach Theme‐oriented discourse analysis looks at how language constructs professional practice. Recordings of naturally occurring interactions are transcribed and combined with ethnographic knowledge. Analytic themes drawn primarily from sociology and linguistics shed light on how meaning is negotiated in interaction. Detailed features of talk, such as intonation and choice of vocabulary, trigger inferences about what is going on and being talked about. These affect how interactants judge each other and decisions are made. Interactions also have larger rhetorical patterns used by both patients and doctors to persuade each other. Examples Two settings are used to illustrate this approach: genetic counselling and primary care consultations in multilingual areas. In genetic counselling, interactions are organised around the tension between the risks of knowing and the risks of occurrence. This can lead to a ‘rhetorical duel’ between health professionals and patients and their families. In intercultural primary care settings, talk itself may be the problem when interpretive processes cannot be taken for granted. Even widely held models of good practice can lead to misunderstandings under these conditions. Conclusion Through discourse analysis, the talk under scrutiny can be slowed down to show the interpretive processes and overall patterns of an activity. Discourse analysts and health professionals, working together, can look at problems in new ways and develop interventions and tools for a better understanding of communication in medical life.
Bibliografie:	ark:/67375/WNG-T3BXJ3JQ-Z istex:1CD33928A8988C72A4D256C59A06676AF8C29AFB ArticleID:MEDU2171 SourceType-Scholarly Journals-1 ObjectType-General Information-1 content type line 14 ObjectType-Article-1 ObjectType-Feature-2 content type line 23
ISSN:	0308-0110 1365-2923
DOI:	10.1111/j.1365-2929.2005.02171.x