In This Issue: Tools to Help Focus on What is Valuable

Stange, Kurt C.

doi:10.1370/afm.2145

Cited by 1 publication

(2 citation statements)

References 40 publications

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“…An explanation for these different preferences in the two groups may be found in the circumstances under which they meet their patients. GPs often have a longstanding relationship with patients, which could explain why they render specific patients to a greater degree than the PSs, whose training focuses on achieving competence in diagnoses and medication (Stange 2009). The results also mirror the circumstance that patients in GP consultations are un-referred, often with undifferentiated symptoms, implying a patient-centred approach where the patient sets the agenda (Langberg, Dyhr & Davidsen 2019).…”

Section: Taking On the Task?mentioning

confidence: 82%

“…The evidence from the current and previous studies that the two groups display different grammatical, narrative and interactional patterns could indicate that practical and structural factors in the healthcare sectors do not provide a full explanation for these findings. Instead, the difference between the two groups could be suggestive of more fundamental cultural differences between the two sectors, partly caused by their different roles and working conditions in the health care system (Stange 2009, Stange & Ferrer 2009, McWhinney 1996, which could pose a challenge to future cooperation.…”

Section: The Interview As An Interactional Disciplinementioning

confidence: 99%

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A typical patient with depression?

Pedersen¹,

Davidsen²

2019

TFSS

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In Denmark and internationally there is a push for enhanced collaboration between general practice and the psychiatric sector in the treatment of patients with depression. Linguistic and other qualitative studies into doctor-patient interaction have shown that general practitioners (GPs) and psychiatrists have different understandings of depression, which could hamper collaboration. The present study adds to linguistic research of the understanding of depression in the two sectors by examining healthcare communication in a context of representation: how doctors talk about their patients in interviews, rather than how they communicate with their patients in consultations. We demonstrate that the two groups of doctors have diverging representations of patients with depression. Most GPs present patients as individuals whose condition is explained by psychosocial circumstances; whereas psychiatrists predominantly present patients as categories. This difference is evidenced by how the two groups respond to the interviewer’s elicitation of patient stories. The GPs employ personal or specific narrative genres, whereas the psychiatrists use general narrative genres, indicating that the two groups occupy their own separate spaces within what is termed the narrative field. We also demonstrate that these different representations concur with variations in interactional patterns in the interview context, enhancing the gap between the professional identities of the two groups of doctors and, consequently, their conceptualizations of depression. The difference between the groups could be suggestive of cultural differences between the two sectors, caused by their different roles and working conditions in the health care system, which could pose a challenge to future cooperation.

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Section: Taking On the Task?mentioning

confidence: 82%

Section: The Interview As An Interactional Disciplinementioning

confidence: 99%