The public, the private and the intimate in doctor–patient communication: Admission interviews at an outpatient mental health care service  

Oleh:

Bonnin, Juan Eduardo

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Discourse Studies (Full Text) vol. 15 no. 6 (Dec. 2013), page 687-711.
Topik: Agenda-setting; context; doctor–patient communication; gaze; indexicality; interaction; sociolinguistic scales
Fulltext: The public, the private and the intimate in doctor-patient.pdf (5.57MB)

Isi artikel

This article analyzes doctor–patient communication at admission interviews in an outpatient mental health care service at a public hospital in Buenos Aires, Argentina. These interviews are the first contact between professionals and patients, and they result in the admission or rejection of the latter into the medical institution. In particular, we observe how context, understood as a sociocognitive and scalar concept, is reshaped with gaze direction and agenda-setting through interaction, resulting in three hierarchical spaces which can be represented as degrees in a scale: the public, the private, and the intimate level. This description will allow us to understand a series of communicative difficulties that may result from scale maladjustments, in which professionals interact with patients at different levels and therefore cannot give adequate feedback to satisfy mental health care needs.

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