This article explores physicians’ uses of “honestly” wenn (‘if’)-clauses in German palliative care interactions. In “stretching the old linguistics to meet the challenge of talk-in-interaction” (Schegloff 1996: 114), the study aims to further our understanding of how routinized communicative practices are mobilized in response to local interactional needs within institutional interaction. Using methods and concepts of Interactional Linguistics, Social Constructivism, and Linguistic Anthropology, I will illustrate how doctors in German palliative consultations reconfigure traditional conditional
wenn (‘if’)-clauses to adjust to local needs. With its focus on the interactional practices participants use in palliative consultations as well as the way in which these practices both conform to and (re)construct the institutional order, the analysis contributes to “New Perspectives in Interactional Linguistic Research” by heightening awareness of the communicative construction of social reality within institutional (i.e., palliative) settings. Furthermore, in applying Interactional Linguistics to palliative interactions, this paper not only aims to shed light on the reflexive relationship between (routinized) interactional practices and the “social field” (Hanks 2007) of palliative communication, but it also contributes insights into the field of applied Interactional Linguistics.