Talking Down Pain in the Prosthesis Clinic: The Emergence of a Local Preference

IF 3 1区 文学 Q1 COMMUNICATION
R. Galatolo, A. Fasulo
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引用次数: 1

Abstract

ABSTRACT Understanding and evaluating pain is a growing concern in clinical practice and health care. In this article we examine how pain is talked about in 24 video-recorded visits of a team of medical professionals with postsurgery amputees. We identify a paradox: Although it is medically useful to identify postamputation pain (it can indicate problematic healing and deter application of a prosthesis), we found that there was a joint preference, by both patients and professionals, to minimize pain sensations. We show how both parties draw on turn design, sequential organization, and multimodal resources to acknowledge some kinds of unpleasant sensations while excluding types of pain that would be problematic in view of the prosthesis. We discuss the importance of the findings in terms of furthering the understanding of situated expression and reporting of pain, the emergence of local preferences in clinical settings, and preference organization in general. Data are in Italian.
在义肢诊所减少疼痛:局部偏好的出现
理解和评估疼痛是临床实践和卫生保健日益关注的问题。在这篇文章中,我们研究了一个医疗专业人员团队在24次手术后截肢者的视频访问中是如何谈论疼痛的。我们发现了一个悖论:虽然在医学上识别截肢后疼痛是有用的(它可以表明有问题的愈合和阻止假体的应用),但我们发现,患者和专业人员都有一个关节偏好,以尽量减少疼痛感觉。我们展示了双方如何利用回合设计、顺序组织和多模态资源来承认某些不愉快的感觉,同时排除可能对假体造成问题的疼痛类型。我们在进一步理解疼痛的位置表达和报告方面讨论了研究结果的重要性,在临床环境中出现的局部偏好,以及一般的偏好组织。数据是意大利语。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.30
自引率
7.40%
发文量
20
期刊介绍: The journal publishes the highest quality empirical and theoretical research bearing on language as it is used in interaction. Researchers in communication, discourse analysis, conversation analysis, linguistic anthropology and ethnography are likely to be the most active contributors, but we welcome submission of articles from the broad range of interaction researchers. Published papers will normally involve the close analysis of naturally-occurring interaction. The journal is also open to theoretical essays, and to quantitative studies where these are tied closely to the results of naturalistic observation.
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