I've heard wonderful things about you'

How patients compliment surgeons

Dados Bibliográficos

ID2266185
AutoresPamela L Hudak (St. Michael's Hospital, autor correspondente), Virginia Teas Gill (0009-0006-8988-0594, Illinois State University), Jeffrey P Aguinaldo (0000-0002-2744-5515, Wilfrid Laurier University), Shannon Clark (0000-0002-2600-8145, University of Toronto), Richard Frankel, Richard M Frankel (0000-0003-4132-4506, Richard L. Roudebush VA Medical Center)
Ano2010
Volume32
Fascículo5
Páginas777-797
Data de publicação2010-06-14
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSociology of Health & Illness (JOURNAL)
Identificadores do periódicoISSN: 0141-9889 • E-ISSN: 1467-9566
EditoraWiley (PUBLISHER • GB)
DOI10.1111/j.1467-9566.2010.01248.x
PMID20553425
PMCIDPMC3605890
OpenAlexW1483363321
IdiomaEN
Citações recebidas13
Referências citadas25

This investigation was motivated by physician reports that patient compliments often raise 'red flags' for them, raising questions about whether compliments are being used in the service of achieving some kind of advantage. Our goal was to understand physician discomfort with patient compliments through analyses of audiotaped surgeon-patient encounters. Using conversation analysis, we demonstrate that both the placement and design of compliments are consequential for how surgeons hear and respond to them. The compliments offered after treatment recommendations are neither designed nor positioned to pursue institutional agendas and are responded to in ways that are largely consistent with compliment responses in everyday interaction, but include modifications that preserve surgeons' expertise. In contrast, some compliments offered before treatment recommendations pursue specific treatments and engender surgeons' resistance. Other compliments offered before treatment recommendations do not overtly pursue institutionally-relevant agendas-for example, compliments offered in the opening phase of the visit. We show how these compliments may but need not foreshadow a patient's upcoming agenda. This work extends our understanding of the interactional functions of compliments, and of the resources patients use to pursue desired outcomes in encounters with healthcare professionals

Business · Conversation · Conversation analysis · Health care · Political science · Public relations · Resistance (ecology) · Service (business) · Discourse Analysis in Language Studies · Interpreting and Communication in Healthcare · Language, Discourse, Communication Strategies · Law · Medicine · Psychology