"Does it Mean I'm Gonna Die ?" : On Meaning Assessment in the Delivery of Diagnostic News  

Oleh:

Maynard, Douglas W.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 8 (Apr. 2006), page 1902-1916.
Topik: ANALYSIS; conversational analysis; doctor patient relationship; diagnostic news; USA

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.3 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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This paper investigates how in the delivery of diagnostic news, participants to the delivery may engage in meaning assessment or interpreting the news. It draws on data from 24 conversations in developmental disabilities clinics, internal medicine clinics and HIV counselling and testing clinics in the USA. The analysis shows that participants initiate meaning assessment sequences whereby one participant proposes what the news means and the other aligns or dialings with the proposal. When meaning assessment occurs, the prederred way for this to happen is that the clinical initiates and proposes interpretation, with alignment being sought over disalignment. Further practices of meaning assessment are affirming the collection of meaning assessment sequencs in clinical settings is brought to bear on a single case in which an internist tells a patient that he has stimach cancer. forr delivering the diagnosis, this doctor neither affirms the positive nor disconfirms the patient withdraws. Asking what the news means is a structurally dispreffered way of handling problems of meaning, and as such this patient's exhibition of difficulty is an outcome of orderly social practices. A clinician's withholding of suspicious meaning assessment may undermine the relationship with patients and / or family members and disrupt the encounter.

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