L’emergere e la costruzione delle identità nell’interazione medico-paziente in contesti multiculturali

Journal title SALUTE E SOCIETÀ
Author/s Franca Orletti
Publishing Year 2013 Issue 2013/1
Language Italian Pages 15 P. 61-75 File size 119 KB
DOI 10.3280/SES2013-001006
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

With few exceptions conversational studies have mostly focused on interactions between doctors and native patients. This paper addresses the construction of non-native identity in interactions between a gynecologist and immigrant patients in a public hospital in Italy. Particularly, the paper addresses the question whether the specific structure of the medical interaction involving a non-native patient makes not only institutional identities (patient/doctor) but also language and cultural identities relevant for the members. Data include a corpus of 12 audiorecorded interactions between a gynecologist and a patient, each 6 of them involving, respectively, a native and a non-native patient. Analyses show that pragmatic, linguistic choices index the identity of the patient as an interactant "of a special kind", by making relevant certain aspects related to her ethnic identity.

Keywords: Social construction of identity, membership categorization device, Conversation Analysis, gynecologist-patient interaction, conversational asymmetry, formulations

  1. Gavioli L., a cura di (2009). La mediazione linguistico-culturale: una prospettiva interazionista. Perugia: Guerra
  2. Antaki C., Widdicombe, S., editors (1998). Identities in Talk. London: Sage
  3. Baraldi C., Gavioli L. (questo volume). La mediazione nell’interazione centrata sul paziente: il caso delle domande del medico
  4. Bersani Berselli G. (2009). Selezione lessicale e mediazione orale in consultazioni mediche presso ospedali pubblici, in: La mediazione linguistica e culturale: una prospettiva interazionista, Perugia: Guerra Edizioni, 151-170
  5. Coupland J. (2000). Small Talk. London: Longman
  6. Day D. (1998). Being ascribed, and resisting, membership of an ethnic group. In: Antaki C. and Widdicombe S., editors, Identities in talk. London: Sage, 151-170
  7. Drew P. (2003). Comparative analysis of talk-in-interaction in different institutional settings: a sketch. In: Glenn P., LeBaron C.D. and Mandelbaum J., editors, Studies in Language and Social Interaction. In honour of Robert Hopper. Mahwah, New Jersey: Lawrence Erlbaum, 293-308
  8. Drew P., Heritage J., editors (1992). Talk at work: interaction in institutional settings. Cambridge: Cambridge University Press
  9. Fatigante M., Orletti F. (in stampa). Laughter and smiling in a three-party medical encounter: negotiating participants’ alignment in delicate moments of the interaction. In: Glenn P. and Holt E., editors, On Laughing: Studies of Laughter in Interactioni. Continuum Press
  10. Fele G. (1997). Strategie discorsive e forme della degradazione pubblica in tribunale, In: Giglioli P.P., Cavicchioli S., Fele G., Rituali di degradazione. Anatomia del processo Cusani. Bologna: Il Mulino
  11. Fele G. (2009). Glosse e formulazioni. In: Fatigante M., Mariottini L., Sciubba M.E., a cura di, Lingua e Società. Scritti in onore di Franca Orletti. Milano: Franco Angeli editore, 49-59
  12. Fisher S., Todd A., editors (1993). The social organization of Doctor-Patient Communication. Norwood: Ablex Publishing
  13. Fukuda C. (2006). Resistance against being formulated as cultural other: The case of a Chinese student in Japan. Pragmatics, 16, 4: 429-456
  14. Garfinkel H., Sacks H. (1970) On formal structures of practical action. In: McKinney J.C. and Tiryakian E.A., editors, Theoretical Sociology. New York: Appleton- Century-Crofts, 338-366
  15. Giglioli P.P., Cavicchioli S., Fele G. (1997). Rituali di degradazione. Anatomia del processo Cusani. Bologna: Il Mulino
  16. Gill Teas V. (1998). Doing attributions in medical interaction: patients’ explanations for illness and doctors’ responses. Social Psychology Quarterly, 61: 322-360
  17. Gill Teas V., Maynard D.W. (1995). On ‘labeling’ in actual interaction: Delivering and receiving diagnoses of developmental disabilities. Social Problems, 42: 11-37
  18. Gill Teas V., Maynard D.W. (2006). Explaining illness: patients’ proposals and physicians’ responses. In: Heritage J., Maynard D.W., editors, Communication in Medical Care: Interaction Between Primary Care Physicians and Patients. Cambridge: Cambridge University Press, 115-50
  19. Goffman E. (1981). Forms of talk. Philadelphia: University of Pennsylvania (trad. it. Orletti F., a cura di, Le forme del parlare. Bologna: Il Mulino, 1987)
  20. Heath C. (1992). Diagnosis and assessment in the medical consultation. In: Drew P., Heritage J., editors, Talk at work: interaction in institutional settings. Cambridge: Cambridge University Press, 235-67
  21. Heritage J. (2004). Conversation analysis and institutional talk: analysing data. In: Silverman D., editor, Qualitative research: theory, method and practice. 2nd edition. Thousand Oaks, CA: Sage, 222-245
  22. Heritage J. (2010). Questioning in Medicine. In: Freed A., Ehrlich S., editors, “Why Do You Ask?”: The Function of Questions in Institutional Discourse. New York: Oxford University Press, 42-68
  23. Heritage J., Maynard D.W. (2006a). Problems and Prospects in the Study of Physician- Patient Interaction: Thirty Years of Research. Annual Review of Sociology, 32: 351-74
  24. Heritage J., Maynard D.W., editors (2006b). Communication in medical care: Interaction between primary care physicians and patients. Cambridge: Cambridge University Press
  25. Heritage J., Watson R. (1980). Aspects of the Properties of Formulations. Semiotica, 30: 245-262
  26. Linell P., Adelswärd V., Bredmar M., Lindstedt U. and Sachs L. (2002). Expert talk in medical contexts: Explicit and implicit orientations to risks. Research on Language and Social Interaction, 35: 195-218
  27. McCarthy M. (2000). Mutually captive audiences: small talk and the genre of close-contact service encounters. In Coupland J., editor, Small talk. London: Longman, 84-109
  28. McKenzie P. (2010). Informing relationships: small talk, informing and relationship building in midwife-woman interaction. IR Information research 15, 1
  29. Mishler E.G. (1984). The discourse of medicine: dialectics of medical interviews. Norwood: Ablex Publishing
  30. Montanari M. (2006). Il cibo come cultura. Bari: Laterza
  31. Mori J. (2007). Reconstructing the participants’ treatment of “interculturality”: Variations in data methodologies. Pragmatics, 17, 1: 123-141
  32. Nishizaka A. (1995). The interactive constitution of interculturality: How to be a Japanese with words. Human studies, 18: 301-326
  33. Orletti F. (1993). Pratiche di glossa. In: Orletti F., a cura di, Comunicare nella vita quotidiana. Bologna: Il Mulino, 77-103
  34. Orletti F. (2000). La conversazione diseguale. Roma: Carocci
  35. Orletti F. (2010). Formulating identities in multicultural therapeutic contexts. Invited lecture at the International Workshop “Formulation and Epistemic Authority”, Modena, 9-10 settembre 2010
  36. Orletti F., Fatigante M. (2010). Constructing institutional identities at the thresholds of different cultural contexts: analyses of medical interactions with nonnative patients. Paper presented at the International Meeting New Challenges for Multilingualism in Europe, Dubrovnik 11-15 aprile 2010
  37. Parsons T. (1951). The Social System. New York: Free Press
  38. Perakyla A. (1998). Authority and accountability: the delivery of diagnosis in primary health care. Social Psychology Quarterly, 61, 4: 301-20
  39. Perakyla A. (2002). Agency and authority: extended responses to diagnostic statements in primary care encounters. Research on Language and Social Interaction, 35, 2: 219-47
  40. Pilnick A., Hindmarsh J., Gill Teas V. (2009). Beyond ‘doctor and patient’ developments in the study of healthcare interactions. Sociology of Health and Illness, 31, 6: 787-802
  41. Psathas G. (1999). Studying the organization in action: Membership categorization and interaction analysis. Human Studies, 22, 2-4: 139-162
  42. Radley A. (1994). Making sense of illness: the social psychology of health and disease. London: Sage Publications
  43. Ragan S.L. (2000). Sociable talk in women’s health care contexts: two forms of non-medical talk. In: Coupland J., editor, Small talk. London: Longman, 269-287
  44. Robinson J.D. (2003). An interactional structure of medical activities during acute visits and its implications for patients’ participation. Health Communication, 15: 27-59
  45. Sacks H. (1972). An initial investigation of the usability of conversational data for doing sociology. In: Sudnow D., editor, Studies in social interaction. New York: Free Press, 31-74
  46. Sacks H. (1992). Lectures on Conversation. Volumes I and II. Edited by G. Jefferson with Introduction by E.A. Schegloff. Oxford: Blackwell
  47. Sacks H., Garfinkel H. (1970). On formal structures of practical action. In: McKinney J.C., Tiryakian, E.A., editors, Theoretical Sociology. New York: Appleton- Century-Crofts, 338-366
  48. Sacks H., Schegloff E.A., Jefferson G. (1974). A simplest systematics for the organization of turn-taking for conversation. Language, 50: 696-735
  49. Sarangi S. (2001). On demarcating the space between `lay expertise’ and `expert laity’. Text 21, 1-2: 3-12
  50. Schegloff E.A. (1991). Reflections on talk and social structure. In Boden D., Zimmerman D., editors, Talk and Social Structure. Cambridge: Polity Press, 44-70
  51. Schegloff E.A. (1992). In another context. In: Duranti A., Goodwin C. editors, Rethinking context. Language as an interactive phenomenon, Cambridge, 191- 228
  52. Stivers T. (2005a). Non-antibiotic treatment recommendations:delivery formats and implications for parent resistance. Social Science and Medicine, 60: 949- 64
  53. Stivers T. (2005b). Parent resistance to physicians’ treatment recommendations: one resource for initiating a negotiation of the treatment decision. Health Communication, 18, 1: 41-74
  54. Stivers T., Majid A. (2007). Questioning children: Interactional evidence of implicit bias in medical interviews. Social Psychology Quarterly, 70, 4: 424-441
  55. ten Have P. (1991). Talk and institution: a reconsideration of the ‘asymmetry’ of doctor-patient interaction. In: Boden D., Zimmerman D., editors, Talk and social structure: studies in ethnomethodology and conversation analysis. Cambridge: Polity Press, 138-63
  56. van Dijk T. (2000). Ideologies, racism, discourse: Debates on immigration and ethnic issues. In: Wal ter J., Verkuyten M., editors, Comparative perspectives on racism. Aldershot: Ashgate, 91-116
  57. Zimmerman E. (2007). Constructing Korean and Japanese interculturality in talk: Ethnic membership categorization among users of Japanese. Pragmatics, 17, 1: 71-94

  • (Re)transmettre la souffrance émotionnelle : une analyse interactionnelle de consultations entre soignants, demandeurs d’asile et interprètes en France Vanessa Piccoli, in Langage et société /2019 pp.175
    DOI: 10.3917/ls.167.0175
  • The agency of language in institutional talk Letizia Caronia, Franca Orletti, in Language and Dialogue /2019 pp.1
    DOI: 10.1075/ld.00029.orl
  • Interculturality in Institutions Marilena Fatigante, Cristina Zucchermaglio, Francesca Alby, pp.161 (ISBN:978-3-031-12625-3)
  • ‘We will take care of you’: Identity categorisation markers in intercultural medical encounters Valentina Fantasia, Cristina Zucchermaglio, Marilena Fatigante, Francesca Alby, in Discourse Studies /2021 pp.451
    DOI: 10.1177/14614456211009060

Franca Orletti, L’emergere e la costruzione delle identità nell’interazione medico-paziente in contesti multiculturali in "SALUTE E SOCIETÀ" 1/2013, pp 61-75, DOI: 10.3280/SES2013-001006