Jump to ContentJump to Main Navigation
Show Summary Details
More options …

Text & Talk

An Interdisciplinary Journal of Language, Discourse & Communication Studies

Ed. by Sarangi, Srikant


IMPACT FACTOR 2018: 0.400
5-year IMPACT FACTOR: 0.750

CiteScore 2018: 0.61

SCImago Journal Rank (SJR) 2018: 0.305
Source Normalized Impact per Paper (SNIP) 2018: 0.670

Online
ISSN
1860-7349
See all formats and pricing
More options …
Volume 21, Issue 1-2

Issues

Spotlight on the patient

Paul Drew
Published Online: 2008-06-02 | DOI: https://doi.org/10.1515/text.1.21.1-2.261

Abstract

This article reviews the contribution which papers in this collection make to a changing focus in the study of medical interactions—one which pays closer attention to the role of the patient and patient perceptions, both within the medical consultation, and beyond that in the everyday world in which symptoms are first experienced by patients. What emerges from the studies reported here is a less simplistic picture than the one represented in research about the medical interview, as though that is a standard, unidimensional form. We begin to see instead how patients actively participate in medical interactions and in decisions about treatment. We see also how medical interviews unfold according to the communicative choices made by both doctors and patients—a more genuinely interactive approach than hitherto. A number of inter-related themes are identified, in which the patient's role is foregrounded: these include the initiatives which patients make; how they break free of the medical agenda in order to express their concerns; how delicate issues are handled in the interview; patients' lay theories and self-diagnoses (this from a more ‘holistic’ view of the patients' experience); and misalignments between lay and medical perspectives.

Keywords: medical interaction; consultation; patients

About the article

Paul Drew

Paul Drew (Sociology, University of York, UK) has conducted extensive research on the comparative analysis of language and interaction in institutional settings. This began with a study of criminal courts (Order in Court, 1979, with Atkinson), and more recently has included studies of calls to the police, out-of-hours calls to the doctor, and medical interactions—currently as part of an interdisciplinary project on patient participation in medical decision making, funded by the UK's Department of Health.


Published Online: 2008-06-02

Published in Print: 2001-06-12


Citation Information: Text – Interdisciplinary Journal for the Study of Discourse, Volume 21, Issue 1-2, Pages 261–268, ISSN (Online) 1613-4117, ISSN (Print) 0165-4888, DOI: https://doi.org/10.1515/text.1.21.1-2.261.

Export Citation

Citing Articles

Here you can find all Crossref-listed publications in which this article is cited. If you would like to receive automatic email messages as soon as this article is cited in other publications, simply activate the “Citation Alert” on the top of this page.

[4]
Karen Grainger, Sara Mills, and Mandla Sibanda
Journal of Pragmatics, 2010, Volume 42, Number 8, Page 2158
[6]
Joseph Gafaranga and Nicky Britten
Family Practice, 2003, Volume 20, Number 3, Page 242

Comments (0)

Please log in or register to comment.
Log in