The present study focuses on role-associated asymmetries between doctor and patient within prediagnostic sequences in ambulant HIV-consultations. The main question is how the potentially asymmetric roles of HIV-specialist and patient in the prediagnostic process are interactionally constituted and modified during the joint interpretation of patients’ concerns. Analyses show that doctors’ prediagnostic utterances (PUs) and patients’ ‘lay theories’ reveal epistemic similarities; their embedding in the prediagnostic process further suppose the inclusion of the latter as a constitutive part of the prediagnostic process. Results will be discussed from the vantage point of epistemic and conversational asymmetries in doctor-patient-interaction. The data used for the analysis consists of audio-taped HIV-encounters and is sequentially analyzed within a conversational analytic approach.
목차
Abstract Introduction Prediagnostic utterances and their sequential embedding Lay theories vs. prediagnostic utterances The Present Study Data and method Focus Analysis: Interactional Constitution and Modification of Asymmetry inPrediagnostic Sequences Results and Discussion References
키워드
medical CAHIVdoctor-patient-interactionconversation analysisasymmetry in interactionprediagnostic utterances