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Claiming Power in Doctor-Patient Talk (Hardcover, New)
Loot Price: R3,746
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Claiming Power in Doctor-Patient Talk (Hardcover, New)
Series: Oxford Studies in Sociolinguistics
Expected to ship within 12 - 19 working days
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Nancy Ainsworth-Vaughn studied stories, topic control, "true"
questions, and rhetorical questions in 101 medical encounters in US
private-practice settings. In exceptionally lucid and accessible
style, Ainsworth-Vaughn explains how power was claimed by and
co-constructed for both patients and doctors (previous studies have
focused upon doctors' power). The discourse varied along a
continuum from interview-like talk to conversational talk. Six
chapters are organized around data and include extended examples of
actual talk in detailed transcription; four of these data-oriented
chapters focus upon dynamic, moment-to-moment use of speech
activities in emerging discourse, such as doctors' and patients'
stories that co-constructed selves, and a patient's sexual
rhetorical questions. Two more chapters offer non-statistical
quantitative data on the frequency of questioning and sudden topic
changes in relation to gender, diagnosis, and other factors.
Contributing to discourse theory, Ainsworth-Vaughn significantly
modifies previous definitions for topic transitions and rhetorical
questions and discovers the role of storytelling in diagnosis. The
final chapter provides implications for physicians and medical
educators.
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