Beyond ‘Doctor and Patient’: Developments in the Study of Healthcare Interactions

Pilnick, Alison; Hindmarsh, Jon; Gill, Virginia Teas

doi:10.1002/9781444324020.ch1

Cited by 33 publications

(36 citation statements)

References 57 publications

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“…This ' next turn proof procedure ' guides the process of analysis (Hutchby & Wooffi tt, 2008: 13 -15). Studies of healthcare interaction have revealed the ways in which participants accomplish tasks such as diagnosing and recommending treatment within the ongoing interaction, and how healthcare practitioners and clients address various interactional issues that arise during appointments (Pilnick et al, 2009). The appointments included for analysis in this paper all involved multiparty interactions (involving an audiologist, client, and family member).…”

Section: Conversation Analysismentioning

confidence: 99%

Family member involvement in audiology appointments with older people with hearing impairment

Ekberg¹,

Meyer²,

Scarinci³

et al. 2014

International Journal of Audiology

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Section: Conversation Analysismentioning

confidence: 99%

Family member involvement in audiology appointments with older people with hearing impairment

Ekberg¹,

Meyer²,

Scarinci³

et al. 2014

International Journal of Audiology

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“…71 This holistic or balanced view has continued with Bird 72 suggesting that talking with patients is a skill to be studied and developed and refers to it as the 'talking technic', 73 where the purpose of talking with patients is to go beyond immediate symptoms and to fi nd out about the individual as a person, including her or his strengths, weaknesses, and life experiences, all of which will buoy patients for whatever L Dyck challenges they may face. In a similar way, more current literature 74 refers to research on doctor-patient interactions as 'conversation analytic' studies, with a growing agenda focusing on improving communication between the parties. However, the contention in this paper is that PEA will serve as a stronger pull for patients than NEA.…”

Section: Discussionmentioning

confidence: 99%

Resonance and Dissonance Asymmetry in Effective Physician–Patient Relationships

Dyck

2017

Journal of the Royal College of Physicians of Edinburgh

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This paper examines the proposed asymmetry that should occur between resonance and dissonance in physician-patient relationships in favour of resonance to facilitate an effective relationship. Resonance is represented by the positive emotional attractor, which comprises patients' conscious preferred future or ideal self, and dissonance is expressed by the negative emotional attractor and consists of the gaps between patients' ideal and real self or their fears, problems, and shortfalls. Intentional change theory is reviewed to optimise the physician-patient relationship. Concepts from complexity theory and recent research on emotions are used to explain positive and negative emotional attractors. The role of resonance and dissonance in physician-patient relationships is discussed along with how behaviour can be changed with positive and negative emotional attractors. This paper focuses on the quality and effectiveness of physician-patient relationships for physicians who create high versus low positive emotional attractor/negative emotional attractor ratios. Two theoretical propositions are offered and the research and practice implications are explained.Keywords: asymmetry, intentional change theory, physician-patient relationships, positive and negative emotions, resonance and dissonance Declaration of interests: No confl ict of interests declaredAbstract Introduction

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“…CA focuses on, and provides conventions for, the analysis of talk as a vehicle for social action (Drew et al, 2001;Drew & Heritage, 1992;Heritage & Maynard, 2006). CA is a well-established approach for studying communication in a range of healthcare settings (Pilnick et al, 2009). Studies of healthcare interaction have revealed the ways in which clinicians and clients accomplish interactional tasks such as diagnosing, recommending, and responding to treatment, and address various interactional issues and dilemmas that arise as they undertake these tasks (Pilnick et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

“…CA is a well-established approach for studying communication in a range of healthcare settings (Pilnick et al, 2009). Studies of healthcare interaction have revealed the ways in which clinicians and clients accomplish interactional tasks such as diagnosing, recommending, and responding to treatment, and address various interactional issues and dilemmas that arise as they undertake these tasks (Pilnick et al, 2009). This method has also been used in previous research of communication in audiology appointments, including family involvement in appointments, and how audiologists address clients' concerns regarding hearing aids (Ekberg et al, 2014a(Ekberg et al, ,b, 2015.…”

Section: Discussionmentioning

confidence: 99%

Application of the transtheoretical model of behaviour change for identifying older clients’ readiness for hearing rehabilitation during history-taking in audiology appointments

Ekberg

Grenness²,

Hickson

2016

International Journal of Audiology

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Objectives: The transtheoretical model (TTM) of behaviour change focuses on clients' readiness for adopting new health behaviours. This study explores how clients' readiness for change can be identified through their interactions with audiologists during history-taking in initial appointments; and whether clients' readiness has consequences for the rehabilitation decisions they make within the initial appointment. Design: Conversation analysis (CA) was used to examine video-recorded initial audiology appointments with older adults with hearing impairment. Study sample: The data corpus involved 62 recorded appointments with 26 audiologists and their older adult clients (aged 55+ years). Companions were present in 17 appointments. Results: Clients' readiness for change could be observed through their interaction with the audiologist. Analysis demonstrated that the way clients described their hearing in the history-taking phase had systematic consequences for how they responded to rehabilitation recommendations (in particular, hearing aids) in the management phase of the appointment. In particular, clients identified as being in a pre-contemplation stage-of-change were more likely to display resistance to a recommendation of hearing aids (80% declined). Conclusions: The transtheoretical model of behaviour change can be useful for helping audiologists individualize management planning to be congruent with individual clients' needs, attitudes, desires, and psychological readiness for action in order to optimize clients' hearing outcomes.

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Beyond ‘Doctor and Patient’: Developments in the Study of Healthcare Interactions

Cited by 33 publications

References 57 publications

Family member involvement in audiology appointments with older people with hearing impairment

Family member involvement in audiology appointments with older people with hearing impairment

Resonance and Dissonance Asymmetry in Effective Physician–Patient Relationships

Application of the transtheoretical model of behaviour change for identifying older clients’ readiness for hearing rehabilitation during history-taking in audiology appointments

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