Merete Undeland1, Kirsti Malterud. 1. Department of Neurology, Buskerud Hospital Trust, Drammen, Norway. merete.undeland@sb-hf.no
Abstract
OBJECTIVE: To explore diagnostic interaction to understand more about why some problems appear medically unexplained. DESIGN: A qualitative discourse analysis case study. SETTING: Encounters between women patients and general practitioners in primary healthcare. SUBJECTS: Microanalysis of two audiotaped consultations without a clear-cut diagnosis and opposing levels of mutuality between doctor and patient. MAIN OUTCOME MEASURES: Descriptions of linguistic patterns in diagnostic interaction. RESULTS: Two patterns were identified demonstrating how different ways of speech acts contribute or obstruct diagnostic interaction and common ground for understanding. To invite or reject the patient into/from the diagnostic process, and to recognize or stereotype the patient may impose on how illness stories are perceived as medically unexplained. CONCLUSION: Making sense of illness can be enhanced by inviting and recognizing the patient's story.
OBJECTIVE: To explore diagnostic interaction to understand more about why some problems appear medically unexplained. DESIGN: A qualitative discourse analysis case study. SETTING: Encounters between womenpatients and general practitioners in primary healthcare. SUBJECTS: Microanalysis of two audiotaped consultations without a clear-cut diagnosis and opposing levels of mutuality between doctor and patient. MAIN OUTCOME MEASURES: Descriptions of linguistic patterns in diagnostic interaction. RESULTS: Two patterns were identified demonstrating how different ways of speech acts contribute or obstruct diagnostic interaction and common ground for understanding. To invite or reject the patient into/from the diagnostic process, and to recognize or stereotype the patient may impose on how illness stories are perceived as medically unexplained. CONCLUSION: Making sense of illness can be enhanced by inviting and recognizing the patient's story.
Authors: José M Aiarzaguena; Gonzalo Grandes; Agustín Salazar; Idoia Gaminde; Alvaro Sánchez Journal: Scand J Prim Health Care Date: 2008 Impact factor: 2.581
Authors: Elisabeth Assing Hvidt; Jens Søndergaard; Sonja Wehberg; Niels Christian Hvidt; Christina Maar Andersen Journal: BMC Med Educ Date: 2022-06-23 Impact factor: 3.263