Introduction: Discursive hybridity in medical work

Sarangi, Srikant; Roberts, Celia

doi:10.1515/9783110208375.2.61

Cited by 17 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…15. This is shown by Atkinson (1999) in an interesting medical setting, namely case presentations by doctors to doctors; he investigates 'the delicate processes whereby medical knowledge is deployed, challenged, warranted and shared ' (1999: 80) and how professional responsibility is 'constructed'; compare also Sarangi and Roberts (1999b). Brünner (1997) analyses quite a different constellation: she observes the evaluation and negotiation of technical competence between expert and client in a computer service centre.…”

Section: Resultsmentioning

confidence: 99%

Conversational Techniques Used in Transferring Knowledge between Medical Experts and Non-experts

Gülich

2003

Discourse Studies

View full text Add to dashboard Cite

A B S T R AC T Unlike a great deal of research on expert/non-expert communication, most of which is based on written materials, this article focuses on face-to-face communication. The analysis is based on a large corpus of transcribed recordings of medical seminars in rehabilitation centres and of interviews with chronically ill patients suffering from heart conditions. The focus is on procedures of illustration, which are often combined with reformulation procedures. Four main types are described: metaphors, exemplification, 'scenarios', concretization. Whatever the type of illustration used, participants in face-to-face interaction show a marked preference for procedures which relate abstract medical information to everyday life and experience.After a brief outline of the theoretical approach adopted the analysis proceeds in two steps: first, the emphasis is on techniques employed by the 'experts', then on those used by 'non-experts', i.e. patients. This is followed by an examination of the question how the roles of expert and non-expert are constituted in and by interaction.

show abstract

Section: Resultsmentioning

confidence: 99%

Conversational Techniques Used in Transferring Knowledge between Medical Experts and Non-experts

Gülich

2003

Discourse Studies

View full text Add to dashboard Cite

show abstract

“…I used fieldnotes intensively, for ethnographic purposes (Hak 1999: 447) and as material for discourse analysis (Sarangi and Roberts 1999: 70). I made audio recordings when permissible of observation sessions as well as interviews.…”

Section: Methodsmentioning

confidence: 99%

Abortion discourse in Bolivian hospital contexts: doctors’ repertoire conflicts and the Saving Women device

Rance

2005

Sociology Health & Illness

View full text Add to dashboard Cite

The author proposes going Beyond attitudes (Potter and Wetherell 1987) to a more nuanced assessment of doctors' discursive variations. Through an application of Gilbert and Mulkay's (1984) interpretative repertoires, she defined three voices -technical, normative and pragmatic -in which Bolivian doctors spoke of abortion. In State and social security hospital contexts, doctors hastened to express compliance with government policy and institutional norms regulating abortion and postabortion care. Technical and pragmatic considerations, however, often entered into conflict with established rules. When contradictions became apparent in their own discourse, doctors regularly drew on the Saving Women device. This accounting strategy enabled them to save face as up-to-date professionals through justifying temporary deviance from norms in terms of benefit to women treated. The author describes her development of the repertoires, their validation with different medical audiences, and doctors' critical appropriation of the model to explain their own discursive variations.

show abstract

“…Therefore, the consideration of hospital settings as multicultural social sites which require a thorough ethnographical work (Moyer, 2011) allows, on one hand, a collaborative research on health care (Candlin and Candlin, 2003;Sarangi, 2004) which will serve to solve clinical problems. On the other hand, shifting away or problematizing the relationship between the doctor and patient allows fuller understanding of what constitutes everyday medical practice (Sarangi and Roberts, 1999). Therefore, negotiation and reconfiguration of institutionalized roles and situations become not the exception, but a constitutive feature of medical settings (Cicourel, 1999;Sarangi, 2011).…”

Section: Doctor-patient Interaction and The Issue Of Contextmentioning

confidence: 99%

“…The role of language in producing and reproducing social inequality has been studied in different settings with special interest in public and private organizations and institutions (Blommaert, 2010;Hymes, 1996;Moyer, 2011;Sarangi and Roberts, 1999;Sarangi and Slembrouck, 1996). In countries like Argentina, which has experienced over a decade of dismantling of the state apparatus, the symbolic and practical place of public institutions, such as health care services, has become radically different from private ones.…”

Section: Introductionmentioning

confidence: 99%

The public, the private and the intimate in doctor–patient communication: Admission interviews at an outpatient mental health care service

Bonnin

2013

Discourse Studies

View full text Add to dashboard Cite

This article analyzes doctor-patient communication at admission interviews in an outpatient mental health care service at a public hospital in Buenos Aires, Argentina. These interviews are the first contact between professionals and patients, and they result in the admission or rejection of the latter into the medical institution. In particular, we observe how context, understood as a sociocognitive and scalar concept, is reshaped with gaze direction and agenda-setting through interaction, resulting in three hierarchical spaces which can be represented as degrees in a scale: the public, the private, and the intimate level. This description will allow us to understand a series of communicative difficulties that may result from scale maladjustments, in which professionals interact with patients at different levels and therefore cannot give adequate feedback to satisfy mental health care needs.

show abstract

Introduction: Discursive hybridity in medical work

Cited by 17 publications

References 0 publications

Conversational Techniques Used in Transferring Knowledge between Medical Experts and Non-experts

Conversational Techniques Used in Transferring Knowledge between Medical Experts and Non-experts

Abortion discourse in Bolivian hospital contexts: doctors’ repertoire conflicts and the Saving Women device

The public, the private and the intimate in doctor–patient communication: Admission interviews at an outpatient mental health care service

Contact Info

Product

Resources

About