Narrative accounts and their influence on treatment recommendations in medical interviews

IF 0.9 4区文学 Q3 COMMUNICATION

Narrative Inquiry Pub Date : 2020-10-27 DOI:10.1075/NI.20028.FIO

Amy Fioramonte

引用次数: 0

Abstract

Abstract Previous research exploring the use of narratives in medical interviews has primarily examined the history-taking phase to illustrate the ways in which physicians and patients discursively collaborate to organize and interpret patients’ illness experiences ( Eggly, 2002 ; Halkowski, 2006 ; Stivers & Heritage, 2001 ). In this paper, the scope will be expanded to demonstrate that narrative accounts are interwoven and unfold across various phases of the medical interview, not only the history-taking phase, and are utilized in a variety of ways to collaboratively accomplish specific social practices. A narrative as talk-in-interaction approach is used to examine narrative accounts using audio-recordings of naturally occurring medical interview data (US, American English). This paper examines the ways in which narratives are locally occasioned to do a variety of things (e.g., raise difficult topics, actively resist treatment, reinforce identities), including influencing the treatment decision making process.

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医学访谈中叙述性叙述及其对治疗建议的影响

摘要先前探索在医学访谈中使用叙事的研究主要考察了历史记录阶段，以说明医生和患者在组织和解释患者的疾病经历时进行话语合作的方式（Eggly，2002；Halkowski，2006年；Stivers和Heritage，2001年）。在本文中，范围将扩大，以证明叙事叙述在医学访谈的各个阶段交织和展开，而不仅仅是历史记录阶段，并以各种方式用于协作完成特定的社会实践。叙事即对话互动法用于使用自然发生的医学访谈数据（美国、美国英语）的录音来检查叙事叙述。本文研究了叙事在当地被用来做各种事情的方式（例如，提出困难的话题、积极抵制治疗、强化身份），包括影响治疗决策过程。

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

Narrative Inquiry Multiple-

CiteScore

2.10

自引率

14.30%

发文量

期刊介绍： Narrative Inquiry is devoted to providing a forum for theoretical, empirical, and methodological work on narrative. Articles appearing in Narrative Inquiry draw upon a variety of approaches and methodologies in the study of narrative as a way to give contour to experience, tradition, and values to next generations. Particular emphasis is placed on theoretical approaches to narrative and the analysis of narratives in human interaction, including those practiced by researchers in psychology, linguistics and related disciplines.