An interactional approach to conceptualising small talk in medical interactions.
An interactional approach to conceptualising small talk in medical interactions.
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DOI：
10.1111/j.1467-9566.2011.01343.x
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发表时间：
2011-05
影响因子：
2.9
通讯作者：
Maynard DW
中科院分区：
文献类型：
--
作者：
Hudak PL;Maynard DW
在医疗互动中，似乎很容易将“闲聊”识别为处理患者医疗问题的机构工作中多余的随意或社交谈话。然而，这种广泛的特征很难应用于实际的谈话，并且需要更多的特异性来分析闲聊是如何产生的，以及它对医疗互动参与者的影响。我们提供了一种描述闲聊亚类型的方法，称为话题化闲聊（TST），基于对涉及骨科医生和老年患者的常规咨询的谈话分析。TST是一种相对独立于他们作为病人或外科医生的机构身份的谈话，而是面向一个（或两个）个人传记的一个方面，或者是在任何环境（例如天气）中可供互动的一些中立话题。重要的是，TST是患者和外科医生共同的成就，这一课题的产生和追求是相互完成的。在一项探索性但系统性的分析中，当将这种方法应用于外科医生与患者互动的有目的样本时，TST在白人患者中比在非裔美国患者中更为普遍。对TST可能存在的种族差异提出了解释。
In medical interactions, it may seem straightforward to identify ‘small talk’ as casual or social talk superfluous to the institutional work of dealing with patients’ medical concerns. Such a broad characterisation is, however, extremely difficult to apply to actual talk, and more specificity is necessary to pursue analyses of how small talk is produced and what it achieves for participants in medical interactions. We offer an approach to delineating a subgenre of small talk called topicalised small talk (TST), derived on the basis of conversation analytically-informed analyses of routine consultations involving orthopaedic surgeons and older patients. TST is a line of talk that is referentially independent from their institutional identities as patients or surgeons, oriented instead to an aspect of the personal biography of one (or both), or to some neutral topic available to interactants in any setting (e.g. weather). Importantly, TST is an achievement of both patient and surgeon in that generation and pursuit of topic is mutually accomplished. In an exploratory but systematic analysis, when this approach was applied to a purposive sample of surgeon-patient interactions, TST was much more prevalent in visits with White than African American patients. Accounts for possible ethnic differences in TST are suggested.
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影响因子：
1
作者：
BUTTON, G;CASEY, N
通讯作者：
CASEY, N
影响因子：
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通讯作者：
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BEACH, WA