Hurting and Blaming: Two Components in the Action Formation of Complaints About Absent Parties

Pino, Marco

doi:10.1080/08351813.2022.2101298

Cited by 8 publications

(1 citation statement)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In line 1, the patient's use of the adverb ‘dei’ (still) suggests the ongoing impact of the external fixator (‘zhege’), framing his turn as a complaint. The direct address ‘ni’ (you) implicates someone in a role of blame, highlighting the interplay of hurt and blame crucial for understanding his complaint [ 55 ]. The patient initiates a self‐repair with a cut‐off, pivoting from a complaint to a question using ‘dei’, a key moment in navigating epistemic territories [ 56 ].…”

Section: Discussionmentioning

confidence: 99%

Teasing in Outpatient Clinical Interaction in China: Managing Epistemic and Deontic Authorities

Gao,

Zhang,

2024

Health Expectations

View full text Add to dashboard Cite

IntroductionIn response to evolving patient‐centred care initiatives, this study investigates teasing in Chinese outpatient interactions. By exploring how teasing impacts knowledge exchange and decision‐making processes, the research underscores its utility in enhancing patient engagement and communication efficacy, aligning with China's healthcare reform objectives.MethodsUtilizing conversation analysis, the study meticulously examines a series of outpatient interactions, identifying and analyzing instances of teasing. Through a detailed investigation of the sequential organization, design features, and interactional tasks accomplished by teasing, the research unravels the complex mechanisms through which teasing operates within clinical settings.ResultsFindings reveal that teasing is a sequential accomplishment that is intertwined with institutional contingencies and embedded in overarching sequential projects of clinics. Teases often arise from subtle cues that may lead to delicate moments and are crafted with a blend of playfulness and seriousness, serving to bridge the gap between patient experiences and medical expertise. This study highlights how teasing facilitates the exchange of knowledge and influences collaborative decision‐making, marking a departure from its more casual use in everyday interactions. Teasing acts as a catalyst for a more profound comprehension of medical facts, encouraging patients to actively participate in their care by expressing concerns and preferences, thus aligning medical decisions with patient autonomy. The responses to teases vary, reflecting the complexity of clinical communication and the need for a delicate balance between humour and professionalism.ConclusionsThe study underscores the significance of teasing as a multifaceted communicative practice within outpatient clinical interactions. It highlights how teasing can contribute to a more nuanced and patient‐centred approach to healthcare, enhancing the collaborative exploration of medical advice and fostering a more engaging and empathetic clinical environment.Patient or Public ContributionThis study utilized real outpatient interactions, with participants' informed consent. The analysis focused on authentic teasing exchanges between clinicians and patients, ensuring the findings reflect genuine communication practices in healthcare settings. Participants, including both healthcare professionals and patients, were informed about the study's goals and their essential role in providing insights into clinician–patient communication, contributing to a deeper understanding of interaction dynamics in outpatient clinics.

show abstract

Section: Discussionmentioning

confidence: 99%