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Taciturn Patients in Health Counseling at a Hospital

Passive Recipients or Active Participators

Bibliographic Data

ID4709783
AuthorsTarja Kettunen (0000-0001-7539-4401, University of Jyväskylä), Marita Poskiparta (University of Jyväskylä), Leena Liimatainen (School of Health and Social Care, JAMK Services, Jyväskylä, Finland.), Auli Sjögren (School of Social Work and Health, Mikkeli Polytecnic, Finland.), Päivi Karhila (University of Jyväskylä)
Year2001
Volume11
Issue3
Pages399-422
Publication date2001-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/104973201129119181
PMID11339082
OpenAlexW2130479706
LanguageEN
Citations received6
References cited36

This study explored patients' taciturnity as observed on videotape during hospital health counseling situations with a nurse. Health counseling sessions, 38 in number, were videotaped, transcribed verbatim, and analyzed by using an adaptation of conversation analysis. The data analysis included information on 18 selected patients who spoke little and did not introduce new topics, but rather supported the discussion on the theme chosen by the nurse. When we examined nurses' and patients' speech word by word, we discovered four participation frames that produced taciturnity: in the hands of professionals, compliant, guilty, and polite. These could fluctuate during interaction. The findings indicate that there is a need for a more extensive description of taciturn, or silent, patients. What has been interpreted as passivity in the literature can be interpreted more constructively. This insight can be useful for developing health counseling practice in hospitals

Conversation · Conversation analysis · Linguistics · Politeness · Communication · Communication in Education and Healthcare · Humor Studies and Applications · Language, Discourse, Communication Strategies · Medicine · Nursing · Psychology

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Unique citing works6
Citations per year0,32
Citation span2007 - 2025 (19)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 6

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