Analisi della Conversazione ed Etnometodologia: la centralità dell’Interazione

Journal title SALUTE E SOCIETÀ
Author/s Timothy Halkowski, Gill Virginia Teas
Publishing Year 2013 Issue 2013/1
Language Italian Pages 16 P. 183-198 File size 125 KB
DOI 10.3280/SES2013-001015
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The paper summarizes the theoretical and methodological principles of Ethnomethodology and Conversation Analysis, two approaches which focus on the understanding of social action as it is produced by participants themselves. Particularly, the authors discuss the strengths and potentials of the two approaches in highlighting features of the communication between patients and health providers. The attention to the temporal and the collaborative character of talk is discussed as unique to Ethnomethodology and Conversation Analysis and considered as powerful way to understand how participants organize their actions and activities in the consultation. Finally the authors hint to the implications of the conversation analytic study of healthcare interactions for medical practice.

Keywords: Ethnomethodology, Conversation Analysis, temporality, social action, participants’ categories, healthcare interaction

  1. Bales R.F. (1950). Interaction Process Analysis: A Method for the Study of Small Groups. Reading, MA: Addison-Wesley
  2. Beach Wayne A. (2005). Disclosing and responding to cancer “fears” during oncology interviews. Social Science & Medicine, 60: 893-910
  3. Boyd E. (1998). Bureaucratic authority in the ‘company of equals’: the interactional management of medical peer review. American Sociological Review 62 (2): 200-24
  4. Boyd E., Heritage J. (2006). Taking the history: questioning during comprehensive history taking. In: Heritage J. and Maynard D.W., editors, Communication in Medical Care: Interaction Between Primary Care Physicians and Patients. Cambridge: Cambridge University Press, 151-84
  5. Butler C.W., Danby S., Emmison M. and Thorpe K. (2010). Managing Medical Advice Seeking in Calls to Child Health Line. In: Pilnick A., Hindmarsh J., and Gill Teas V. a cura di, Communication in Healthcare Settings: Policy, Participation and New Technologies. Oxford, UK: Wiley-Blackwell (ch. 3)
  6. Cicourel A. (1983). Language and the structure of belief in medical communication. In: Fisher S. and Todd A., editors, The Social Organization of Doctor- Patient Communication. Washington, DC: Center for Applied Linguistics
  7. Costello B., Roberts F. (2001). Medical Recommendations as Joint Social Practice, Health Communication, 13, 3: 241-60
  8. Drew P. (1991). Asymmetries of knowledge in conversational interactions. In: Markova I. and Foppa K., editors, Asymmetries in Dialogue. Hemel Hempstead: Harvester Wheatsheaf
  9. Drew P., Heritage J., editors (1992). Talk at Work: Interaction in Institutional Settings. Cambridge: Cambridge University Press
  10. Fisher S. (1984). Doctor-patient communication: A social and micro-political performance. Sociology of Health and Illness 6: 1-27
  11. Friedson E. (1970). Profession of medicine. A study of the sociology of applied knowledge. NY, Dodd, Mead and Company
  12. Garfinkel H. (1984/1967). Studies in Ethnomethodology. London: Polity Press
  13. Gill V. 1995. The Organization of Patients’ Explanations for Illness and Doctors’ Responses in Clinical Interaction. Unpublished Ph.D. Dissertation. University of Wisconsin, Madison
  14. Gill V. (1998). Doing Attributions in Medical Interaction: Patients’ Explanations for Illness and Doctors’ Responses. Social Psychology Quarterly, 61, 4: 342-360
  15. Gill V. (2005). Patient “Demand” for Medical Interventions: Exerting Pressure for an Offer in a Primary Care Clinic Visit. Research on Language & Social Interaction, 38, 4: 451-479
  16. Gill V., Halkowski T. and Roberts F. (2001). Accomplishing a request without making one: A single case analysis of a primary care visit. Text, 21, 1/2: 55-81
  17. Gill V., Maynard D. (2006). Explaining illness: patients’ proposals and physicians’ responses. In: Heritage J. and Maynard D., editors, Communication in Medical Care: Interaction Between Primary Care Physicians and Patients. Cambridge: Cambridge University Press, 115-50
  18. Goffman E. (1967). Interaction Ritual: Essays in face to face behavior. Chicago: Aldine
  19. Goodwin C. (1979). The interactive construction of a sentence in natural conversation. In: Psathas G., editor, Everyday language: studies in ethnomethodology. New York: Irvington, 97-121
  20. Goodwin C. (1980). Restarts, pauses, and the achievement of mutual gaze at turnbeginning. Sociological Inquiry, 50, 3-4: 272-302
  21. Goodwin C. (1981). Conversational organization: interaction between speakers and hearers. New York: Academic Press
  22. Haakana M. (2001). Laughter As A Patient’s Resource: Dealing with Delicate Aspects of Medical Interaction. Text, 21: 187-219
  23. Halkowski T. (1990). “Role” as an Interactional Device. Social Problems, 37, 4: 564-577
  24. Halkowski T. (1992). Hearing Talk: Generating Answers and Accomplishing Facts. Perspectives on Social Problems, vol. 4: 25-45. Stamford, CT: JAI Press
  25. Halkowski T. (1999). Achieved Coherence in Aphasic Narrative. Perspectives on Social Problems, vol. 11: 261-276. Stamford, CT: JAI Press
  26. Halkowski T. (2006). Realizing the Illness: Patients’ narratives of symptom discovery. In: Heritage J. and Maynard D.W., editors, Communication in Medical Care: Interaction Between Primary Care Physicians and Patients. Cambridge: Cambridge University Press, 86- 114
  27. Halkowski T. (2008). Approximation elicitors & accountability in pursuit of amounts. Paper presented at the Annual Meeting of the National Communication Association, San Diego, CA, November 21
  28. Halkowski T. (2011). Medical Discourse. In: Hyland K. and Paltridge B., editors, Companion to Discourse Analysis. London: The Continuum International Publishing Group Ltd
  29. Hall J., Irish J., Roter D., Ehrlich C. and Miller L. (1994). Gender in medical encounters: An analysis of physician and patient communication in a primary care setting. Health Psychology 13, 5: 384-92
  30. Heath C. (1992). The delivery and reception of diagnosis in the general-practice consultation. In: Drew P. and Heritage J., editors, Talk at Work: Interaction in Institutional Settings. Cambridge: Cambridge University Press
  31. Heritage J. (1984). Garfinkel & Ethnomethodology. Cambridge, UK: Cambridge University Press
  32. Heritage J., Maynard D., editors (2006a). Communication in Medical Care: Interaction Between Primary Care Physicians and Patients. Cambridge: Cambridge University Press
  33. Heritage J., Maynard D. (2006b). Problems and prospects in the study of doctorpatient interaction: 30 years of research in primary care. Annual Review of Sociology. 32: 351-374
  34. Heritage J., Robinson J. (2006). Accounting for the visit: giving reasons for seeking medical care. In: Heritage J. and Maynard D.W., editors, Communication in Medical Care: Interaction Between Primary Care Physicians and Patients. Cambridge: Cambridge University Press, 48-85
  35. Hilbert R. (1981). Toward an improved understanding of “role”. Theory & Society, 10, 2: 207-226
  36. Hilbert R. (1984). The Acultural Dimensions of Chronic Pain: Flawed Reality Construction and the Problem of Meaning. Social Problems, 31, 4: 365- 378
  37. Hilbert R. (1992). The Classical Roots of Ethnomethodology. Chapel Hill, NC: Univ. of North Carolina Press
  38. Jefferson G. (1973). A case of precision timing in ordinary conversation: overlapped tag-positioned address terms in closing sequences. Semiotica, 9: 47-96
  39. Kinnell A.M., Maynard D.W. (1996). The Delivery and Receipt of Safer Sex Advice in Pre-test Counseling Sessions for HIV and AIDS. Journal of Contemporary Ethnography, 35: 405-437
  40. Lutfey K. (2004). On Assessment, Objectivity, and Interaction: The Case of Compliance With Medical Treatment Regimens. Social Psychology Quarterly 67, 4: 343-68
  41. Lutfey K., Maynard D.W. (1998). Bad News in Oncology: How Physician and Patient Talk about Death and Dying without Using those Words. Social Psychology Quarterly, 61, 4: 321-41
  42. Maynard D.W. (1991). Interaction and asymmetry in clinical discourse. American Journal of Sociology, 97, 2: 448-95
  43. Maynard D.W. (2003). Bad News, Good News: Conversational Order in Everyday Talk and Clinical Settings. Chicago: University of Chicago Press
  44. Maynard D.W. (2004). On predicating a diagnosis as an attribute of a person. Discourse Studies, 6: 53-76
  45. Maynard D.W., Wilson T. (1980). On the Reification of Social Structure. Current Perspectives in Social Theory, 1: 287-322
  46. McDermott R.P., Baugh J. (1992). A review of ‘Erving Goffman: Exploring the Interaction Order, by Paul Drew & Anthony Wootton, editors. Language, 68, 4: 833-836
  47. Mills C.W. (1940). Situated actions and vocabularies of motive. American Sociological Review, 5, 6: 904-913
  48. Mishler E.G. (1984). The discourse of medicine: dialectics of medical interviews. Norwood, N.J.: Ablex Publishing Corporation
  49. Paget M. (1983). On the work of talk: studies in misunderstanding. In: Fisher S. and Todd A., editors, The Social Organization of Doctor-Patient Communication. Washington, D.C.: Center for Applied Linguistics, 55-74
  50. Parry R. (2004). The interactional management of patients’ physical incompetence: A conversation analytic study of physiotherapy interactions. Sociology of Health and Illness, 26, 7: 976-1007
  51. Parsons T. (1951). The Social System. New York: Free Press
  52. Pilnick A. (2002). There are no rights and wrongs in these situations: Identifying interactional difficulties in genetic counseling. Sociology of Health and Illness, 24 1: 66-88
  53. Pilnick A., Coleman T. (2003). “I’ll give up smoking when you get me better.” Patients’ resistance to attempts to topicalize smoking in GP consultations. Social Science and Medicine, 57: 135-45
  54. 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
  55. Pollner M. (1979). Explicative transaction: making and managing meaning in traffic court. In: Psathas G., editor, Everyday language: studies in ethnomethodology. New York: Irvington, pp. 229-55
  56. Pollner M. (1987). Mundane reason: reality in everyday and sociological discourse. Cambridge: Cambridge University Press
  57. Pomerantz A. (1984a). Pursuing a response. In: Atkinson M. and Heritage J., editors, Structures of Social Action: Studies in Conversation Analysis. Cambridge: Cambridge University Press, 152-163
  58. Pomerantz A. (1984b). Agreeing and disagreeing with assessments: some features of preferred/dispreferred turn shapes. In: Atkinson M. and Heritage J., editors, Structures of Social Action: Studies in Conversation Analysis. Cambridge: Cambridge University Press. Cambridge: Cambridge University Press, 57-101
  59. Pomerantz A., Gill Teas V., Denvir P. (2007) When patients present serious health conditions as unlikely: managing potentially conflicting issues and constraints. In: Hepburn A. and Wiggins S., editors, Discursive Research in Practice: New Approaches to Psychology and Interaction. Cambridge: Cambridge University Press, 127-46
  60. Rawls A. (2005). Garfinkel’s conception of time. Time & Society, 14, 2/3: 163-190
  61. Roter D. (2008). The Roter Interaction Analysis System Coding Manual. Baltimore, MD: Johns Hopkins University. www.rias.org/manual
  62. Roter D., Hall J. (1992). Doctors Talking with Patients/Patients Talking with Doctors: Improving Communication in Medical Visits. Westpost, CT: Auburn House
  63. Roter D., Larson S. (2002). The Roter Interaction Analysis System: Utility and flexibility for analysis of medical interactions. Patient Education and Counseling 42: 2443-51
  64. Sacks H. (1987). On the preferences for agreement and contiguity in sequences in conversation. In: Button G. and Lee J.R.E., editors, Talk and social organisation. Clevedon: Multilingual Matters, 54-69
  65. Sacks H. (1992). Lectures on Conversation, Vols. 1 & 2. Oxford: Blackwell Publishers
  66. Sacks H., Schegloff E.A., Jefferson G. (1974). A Simplest Systematics for the Organization of Turn-Taking for Conversation. Language, 50, 4, 1: 696-735
  67. Schegloff E.A. (1968). Sequencing in conversational openings. American Anthropologist, 70: 1075-95
  68. Schegloff E.A. (1982). Discourse as an interactional achievement: some uses of “uh huh” and other things that come between sentences. In: Tannen D., editor, Analyzing discourse: text and talk. Georgetown University Roundtable on Languages and Linguistics. Washington, D.C.: Georgetown University Press, 71-93
  69. Schegloff E.A. (1993). Reflections on quantification in the study of conversation. Research on Language and Social Interaction, 26: 99-128
  70. Schegloff E.A. (1997). Whose Text? Whose Context? Discourse & Society, 8, 2: 165-187
  71. Schegloff E.A. (2007). Sequence Organization in Interaction: A Primer in Conversation Analysis. Vol. 1. Cambridge: Cambridge University Press
  72. Schegloff E.A., Sacks. H. (1973). Opening up closings. Semiotica, 8, 4: 289-327
  73. Stivers T. (2005a). Non-antibiotic treatment recommendations: delivery formats and implications for parent resistance. Social Science & Medicine, 60: 949-64
  74. 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
  75. Stivers T. (2006). Treatment decisions: negotiations between doctors and patients in acute care encounters. In: Heritage J. and Maynard D.W., editors, Communication in Medical Care: Interaction Between Primary Care Physicians and Patients. Cambridge: Cambridge University Press, 279-312
  76. Stivers T. (2007). Prescribing under pressure: Parent-physician conversations and antibiotics. New York, NY: Oxford University Press
  77. Tannen D., Wallat C. (1986). Medical Professionals and Parents: A Linguistic Analysis of Communication Across Contexts. Language in Society, 15, 3: 295- 311
  78. Todd A. (1989). Intimate adversaries: Cultural conflict between doctors and women patients. Philadelphia: University of Pennsylvania Press
  79. Waitzkin, (1991) The Politics of Medical Encounters: How Patients and Doctors Deal With Problems. New Haven, CT: Yale University Press
  80. Weber M. (1949). The Methodology of the Social Sciences. New York: Free Press. (translated by Shils E. and Finch H.)
  81. Whalen M., Zimmerman D. (1990). Describing Trouble: Practical Epistemology in Citizen Calls to the Police. Language in Society, 19, 4: 465-92
  82. Wittgenstein L. (1953). Philosophical Investigations. Oxford: Blackwell Publishing
  83. Wittgenstein L. (1958). The Blue and Brown Books: Preliminary Studies for the ‘Philosophical Investigations.’ Oxford: Blackwell Publishers
  84. Zimmerman D., Boden D. (1991). Structure-in-action: An introduction. In: D. Boden and D. Zimmerman, editors, Talk and Social Structure: Studies in Ethnomethodology and Conversation Analysis. Cambridge: Polity Press, 4-21

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Timothy Halkowski, Gill Virginia Teas, Analisi della Conversazione ed Etnometodologia: la centralità dell’Interazione in "SALUTE E SOCIETÀ" 1/2013, pp 183-198, DOI: 10.3280/SES2013-001015