The use of reversed polarity repetitional questions during history taking  

Oleh:

Park, Yujong

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Journal of Pragmatics: An Interdiciplinary Journal of Language Studies vol. 43 no. 07 (2011), page 1929–1945.
Topik: Repetitions Patient physician interaction Conversation analysis History-taking activity
Fulltext: Park_Y.pdf (332.92KB)

Isi artikel

Relying on the methodology of conversation analysis, this study analyzes[1TD$DIF] a systematic interactional practice involving one type of repetition found[2TD$DIF] in acute primary care consultations, specifically during the oral history taking phase of the consultation.[3TD$DIF] The data were recovered from video recordings of 42 primary care visits to six physicians in Korea. The article documents the physicians’ practice of repeating their questions by reversing the polarity of the repeated turn immediately following a patient’s response. Reversed polarity repetitions used at these times are shown to[4TD$DIF] work [5TD$DIF]toward building a larger course of action; mainly they constitute diagnostic activity that indexes[6TD$DIF] a patient’s answer as being diagnostically significant. Based on[7TD$DIF] empirical analysis of the data, it is argued that[8TD$DIF] reversed polarity repetitions at thesemoments[9TD$DIF] are notmerely used to confirm a physician’s understanding of symptoms.[10TD$DIF] Rather, by doubly binding patients in their response, they are employed to address the relative importance of particular symptoms for forming diagnostic hypotheses. This paper contributes to the growing literature concerned with the interactional nature of everyday work in medicine[1TD$DIF] by showing[12TD$DIF]how the diagnostic logic of physicians[13TD$DIF] can be realized in the interactive organization of history taking

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