Claiming Power in Doctor-Patient Talk (Oxford Studies in by Nancy Ainsworth-Vaughn

By Nancy Ainsworth-Vaughn

Nancy Ainsworth-Vaughn studied tales, subject regulate, "true" questions, and rhetorical questions in a hundred and one scientific encounters in US private-practice settings. In enormously lucid and obtainable kind, Ainsworth-Vaughn explains how energy was once claimed through and co-constructed for either sufferers and medical professionals (previous reviews have targeted upon medical professionals' power). The discourse various alongside a continuum from interview-like check with conversational speak. Six chapters are prepared round facts and comprise prolonged examples of exact speak in particular transcription; 4 of those data-oriented chapters concentration upon dynamic, moment-to-moment use of speech actions in rising discourse, akin to medical professionals' and sufferers' tales that co-constructed selves, and a patient's sexual rhetorical questions. extra chapters provide non-statistical quantitative information at the frequency of wondering and unexpected subject adjustments with regards to gender, analysis, and different elements. Contributing to discourse thought, Ainsworth-Vaughn considerably modifies prior definitions for subject transitions and rhetorical questions and discovers the function of storytelling in prognosis. the ultimate bankruptcy presents implications for physicians and scientific educators.

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Additional resources for Claiming Power in Doctor-Patient Talk (Oxford Studies in Sociolinguistics)

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Hazen was just finishing chemotherapy for breast cancer. She held two jobs: nurse's aide in a nursing home and companion to an Alzheimer's patient. As is common in private practice, Dr. Miller and Ms. Hazen had an interactional history of several months duration. Also implied in the term "private practice" is an element of choice. For Ms. Hazen, the element of choice did exist; when Dr. Miller left the practice, Ms. Hazen did not accept his replacement, to whom she was assigned by Dr. Miller's staff.

Hazen: Dr. Miller: Ms. Hazen: Dr. Miller: Ms. Hazen: Dr. Miller: Ms. Hazen Dr. Miller: Ms. Hazen: Dr. Miller: Ms. Hazen: Dr. Miller: Ms. Hazen: Dr. Miller: Ms. Hazen: then I tell 'em go [back] and get it. [Yeh] revised. but because it IF IT DOESN'T BOTHER you. M-hm I would tell you to leave it [alone] . [yeah] uh huh (3 sec) I know my KIDS WAS WONDERING if. you thought I should ah . be advised to have a . >let me . um stand for that< . to ah have . get a whirlpool . hot tub or a whirlpool. to massage that.

The third area of disagreement relates to positivism as opposed to postmodern tenets (Cameron et al. 1992). At issue is the role of social structure as opposed to human agency. I agree with K. Davis (1988), who follows Giddens (1984) in accepting a role for both in discourse. Not everyone agrees that there is a role for social structure. , the claim that social reality exists independent of the emerging discourse). In this view, a social role does not exist independent of a person's enactment of it.

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