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Negotiation and the structure of discourse in medical consultation

Bibliographic Data

ID2250598
AuthorsKriss A Dra (corresponding author), Kriss A Drass (Western Washington University, corresponding author)
Year1982
Volume4
Issue3
Pages320-341
Publication date1982-11-01
Open AccessYes
TypeARTICLE
VenueSociology of Health & Illness (JOURNAL)
Journal identifiersISSN: 0141-9889 • E-ISSN: 1467-9566
PublisherWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.ep10487982
PMID10260462
OpenAlexW1986436498
LanguageEN
Citations received8
References cited17

Using audio tape recordings of consultations between mid-level providers and patients in a health maintenance organization, a model of medical negotiation is presented. This model conceptualizes negotiation as a process in which mid-level providers and patients introduce their perspectives on the definition and treatment of medical problems by linking together units of discourse (acts, turns, sequences and phases). This model clearly locates negotiation in observable activities of interactants and demonstrates how the process changes over the course of an encounter as provider and patient participate in the taking of a medical history, the performance of a physical examination, and the discussion of the problem and treatment. Because of the formal yet flexible nature of this model, it lends itself for use in comparative studies of medical practitioner-patient negotiation

Medical history · Negotiation · Political science · Process (computing · Public relations · Radiology · Social science · Sociology · Computer Science · Interpreting and Communication in Healthcare · Language, Discourse, Communication Strategies · Language, Metaphor, and Cognition · Medicine · Psychology

  • Causal discourse structures in medical referral materials

    Open Access•Emmanuel C Chinaguh, Emmanuel Chinaguh et al.•Linguistik Online•2023

  • Discourse and occupational perspective

    Kriss A Drass•Discourse Processes•1988

  • Modes of Interaction in Naturally Occurring Medical Encounters With General Practitioners

    Open Access•Olaug S Lian, Sarah Nettleton et al.•Qualitative Health Research•2021

  • The clinical subject

    Open Access•David J Silverman, David Silverman•Sociology of Health & Illness•1983

  • Social class and the general practice consultation

    Open Access•Mary Boulton, D Tuckett et al.•Sociology of Health & Illness•1986

  • Negotiation of self and setting to advantage

    Open Access•Beth Hanson, Barbara Gail Hanson•Sociology of Health & Illness•1985

  • Making connections

    Open Access•Lesley Griffiths•Sociology of Health & Illness•2003

  • A matter of balance. Positioning of parents' selves through negotiations of symptoms' meaning at a pain clinic for children/young people

    Open Access•Sara Seerup Laursen•Anthropology and Medicine•2024

  • The Discovery of Grounded Theory

    Barney G Glaser, Anselm L Strauss•Discovery of Grounded Theory•2017

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  • Professional Dominance

    Open Access•Eliot Freidson, Robert A Manners•Professional Dominance•2017

  • Some signals and rules for taking speaking turns in conversations

    Starkey Duncan•Journal of Personality and Social…•1972

  • Participation and Leadership in Small Groups

    Peter J Burke•American Sociological Review•1974

  • Opening up Closings

    Open Access•Emanuel A Schegloff, Harvey Sacks•Semiotica•1973

  • A System for the Transfer of Instructions in Natural Settings

    Open Access•Jo Ann Goldberg•Semiotica•1975

  • A Simplest Systematics for the Organization of Turn-Taking for Conversation

    Open Access•Harvey Sacks, Emanuel A Schegloff et al.•Language•2025

  • Developmental Pragmatics

    Marilyn Shatz, Elinor Ochs et al.•Language•1981

  • The Analysis of Qualitative Data

    Open Access•Kriss A Dra, Kriss A Drass•Urban Life•1980

  • The child as a social object

    Open Access•David J Silverman, David Silverman•Sociology of Health & Illness•1981

Citations per year0.19
Citation span1983 - 2024 (42)
Highly citedNo

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