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Reducing asymmetry in doctor-patient interaction: patients’ initiatives in specialised clinical encounters
Titolo Rivista: SALUTE E SOCIETÀ 
Autori/Curatori: Piera Margutti, Renata Galatolo 
Anno di pubblicazione:  2013 Fascicolo: 1EN Doctor-patient interaction and the challenge of multi-culturality . Franca Orletti, Marilena Fatigante (edited by) Lingua: Inglese 
Numero pagine:  18 P. 23-40 Dimensione file:  369 KB
DOI:  10.3280/SES2013-001003EN
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 

This study identifies a specific multimodal practice that patients use during medical encounters with a team of doctor in an Italian specialized centre for prosthesis construction and application. Focusing on the early stages of these encounters, the paper analyses the way in which patients delicately orchestrate their gaze, gesture and verbal behaviour to gain some extra speaking space, beyond that of mere respondents to doctors’ questions. By using Conversation Analysis, we show that patients produce this recurrent multimodal pattern, in methodically produced and recognizable ways. Patients manage to acquire the interactional role of "action initiators"; thus constraining doctors to respond: for instance, by producing unrequested information about their health status, by correcting implicit assumptions in the doctors’ questions, or by producing independent assessments. The paper contributes to previous research on patients’ agency and initiative, revising the notion of asymmetry in medical settings and highlighting the active role of the patient in every stage of these encounters.

Keywords: Patient initiative, asymmetry, mitigation, multimodality, medical interaction, specialized medical encounters

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Piera Margutti, Renata Galatolo, in "SALUTE E SOCIETÀ" 1EN/2013, pp. 23-40, DOI:10.3280/SES2013-001003EN


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