Telephone delivery of psychological interventions: Balancing protocol with patient-centred care

The interactive work of narrative elicitation in person‐centred care: Analysis of phone conversations between health care professionals and patients with common mental disorders

“…24 Patients' narratives are also shaped by the way HCPs pose questions: experience-oriented, affective or general-inquiry questions generally support narrative production, 23,24,29 as does experience-oriented formulations 24 and tentative speech. 23 Drew et al 26 and Kettunen et al 23 have also described the importance of leaving conversational space open in order for patients to contribute with their point of view, something which may be undermined if the conversation is too heavily standardized. 26 However, with the exception of Drew et al, 26 none of these studies is conducted within the inferential framework of PCC, which constitutes a particular kind of institutional encounter by placing the patients' narrated experiences of their condition as the primary basis of care and treatment planning.…”

“…23 Drew et al 26 and Kettunen et al 23 have also described the importance of leaving conversational space open in order for patients to contribute with their point of view, something which may be undermined if the conversation is too heavily standardized. 26 However, with the exception of Drew et al, 26 none of these studies is conducted within the inferential framework of PCC, which constitutes a particular kind of institutional encounter by placing the patients' narrated experiences of their condition as the primary basis of care and treatment planning. 8 Our starting point of this paper is that the normative appeal to practise PCC serves as a particular context for framing the interaction between HCPs and patients, and that narrative elicitation, especially when serving as a bannister for the realisation of the ethics of PCC in a micro-…”

“…Narratives and stories often stretch over longer sequences, consisting of multiple‐turn constructional units, which requires specific and subtle negotiations of speech initiative that may differ depending on whether the narrative is initiated by the speaker or solicited by the recipient 22 . CA has been applied to study activities in health care communication directly or indirectly related to the production of patients' narratives 23–26 . Findings relevant for conducting PCC are, for example, how access to the first‐ and third‐turn slots authorizes HCPs to introduce topics and be in charge of the agenda, 27,28 and how patients nevertheless can find strategies to share their perspectives by going beyond the topical agenda 24 .…”

“… 22 CA has been applied to study activities in health care communication directly or indirectly related to the production of patients' narratives. 23 , 24 , 25 , 26 Findings relevant for conducting PCC are, for example, how access to the first‐ and third‐turn slots authorizes HCPs to introduce topics and be in charge of the agenda, 27 , 28 and how patients nevertheless can find strategies to share their perspectives by going beyond the topical agenda. 24 Patients' narratives are also shaped by the way HCPs pose questions: experience‐oriented, affective or general‐inquiry questions generally support narrative production, 23 , 24 , 29 as does experience‐oriented formulations 24 and tentative speech.…”

“…tions directed both at the factual circumstances at work (Lines 1-2, 24,[26][27] and at the patient's understanding of what happened (Lines[18][19]29). Here the HCP does not use open-ended questions, which are traditionally seen as the ideal practice for encouraging narrating 29.…”