Analisi della Conversazione ed Etnometodologia: la centralità dell’Interazione

Titolo Rivista SALUTE E SOCIETÀ
Autori/Curatori Timothy Halkowski, Gill Virginia Teas
Anno di pubblicazione 2013 Fascicolo 2013/1
Lingua Italiano Numero pagine 16 P. 183-198 Dimensione file 125 KB
DOI 10.3280/SES2013-001015
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The paper summarizes the theoretical and methodological principles of Ethnomethodology and Conversation Analysis, two approaches which focus on the understanding of social action as it is produced by participants themselves. Particularly, the authors discuss the strengths and potentials of the two approaches in highlighting features of the communication between patients and health providers. The attention to the temporal and the collaborative character of talk is discussed as unique to Ethnomethodology and Conversation Analysis and considered as powerful way to understand how participants organize their actions and activities in the consultation. Finally the authors hint to the implications of the conversation analytic study of healthcare interactions for medical practice.

Parole chiave:Etnometodologia, Analisi Conversazionale, temporalità, azione sociale, categorie dei partecipanti, interazioni in setting medico

  1. Costello B., Roberts F. (2001). Medical Recommendations as Joint Social Practice, Health Communication, 13, 3: 241-60
  2. Drew P. (1991). Asymmetries of knowledge in conversational interactions. In: Markova I. and Foppa K., editors, Asymmetries in Dialogue. Hemel Hempstead: Harvester Wheatsheaf
  3. Drew P., Heritage J., editors (1992). Talk at Work: Interaction in Institutional Settings. Cambridge: Cambridge University Press
  4. Fisher S. (1984). Doctor-patient communication: A social and micro-political performance. Sociology of Health and Illness 6: 1-27
  5. Friedson E. (1970). Profession of medicine. A study of the sociology of applied knowledge. NY, Dodd, Mead and Company
  6. Garfinkel H. (1984/1967). Studies in Ethnomethodology. London: Polity Press
  7. Gill V. 1995. The Organization of Patients’ Explanations for Illness and Doctors’ Responses in Clinical Interaction. Unpublished Ph.D. Dissertation. University of Wisconsin, Madison
  8. Gill V. (1998). Doing Attributions in Medical Interaction: Patients’ Explanations for Illness and Doctors’ Responses. Social Psychology Quarterly, 61, 4: 342-360
  9. Gill V. (2005). Patient “Demand” for Medical Interventions: Exerting Pressure for an Offer in a Primary Care Clinic Visit. Research on Language & Social Interaction, 38, 4: 451-479
  10. Gill V., Halkowski T. and Roberts F. (2001). Accomplishing a request without making one: A single case analysis of a primary care visit. Text, 21, 1/2: 55-81
  11. Gill V., Maynard D. (2006). Explaining illness: patients’ proposals and physicians’ responses. In: Heritage J. and Maynard D., editors, Communication in Medical Care: Interaction Between Primary Care Physicians and Patients. Cambridge: Cambridge University Press, 115-50
  12. Goffman E. (1967). Interaction Ritual: Essays in face to face behavior. Chicago: Aldine
  13. Goodwin C. (1979). The interactive construction of a sentence in natural conversation. In: Psathas G., editor, Everyday language: studies in ethnomethodology. New York: Irvington, 97-121
  14. Goodwin C. (1980). Restarts, pauses, and the achievement of mutual gaze at turnbeginning. Sociological Inquiry, 50, 3-4: 272-302
  15. Goodwin C. (1981). Conversational organization: interaction between speakers and hearers. New York: Academic Press
  16. Haakana M. (2001). Laughter As A Patient’s Resource: Dealing with Delicate Aspects of Medical Interaction. Text, 21: 187-219
  17. Halkowski T. (1990). “Role” as an Interactional Device. Social Problems, 37, 4: 564-577
  18. Halkowski T. (1992). Hearing Talk: Generating Answers and Accomplishing Facts. Perspectives on Social Problems, vol. 4: 25-45. Stamford, CT: JAI Press
  19. Halkowski T. (1999). Achieved Coherence in Aphasic Narrative. Perspectives on Social Problems, vol. 11: 261-276. Stamford, CT: JAI Press
  20. Halkowski T. (2006). Realizing the Illness: Patients’ narratives of symptom discovery. In: Heritage J. and Maynard D.W., editors, Communication in Medical Care: Interaction Between Primary Care Physicians and Patients. Cambridge: Cambridge University Press, 86- 114
  21. Halkowski T. (2008). Approximation elicitors & accountability in pursuit of amounts. Paper presented at the Annual Meeting of the National Communication Association, San Diego, CA, November 21
  22. Halkowski T. (2011). Medical Discourse. In: Hyland K. and Paltridge B., editors, Companion to Discourse Analysis. London: The Continuum International Publishing Group Ltd
  23. Schegloff E.A. (2007). Sequence Organization in Interaction: A Primer in Conversation Analysis. Vol. 1. Cambridge: Cambridge University Press
  24. Schegloff E.A., Sacks. H. (1973). Opening up closings. Semiotica, 8, 4: 289-327
  25. Stivers T. (2005a). Non-antibiotic treatment recommendations: delivery formats and implications for parent resistance. Social Science & Medicine, 60: 949-64
  26. Stivers T. (2005b). Parent Resistance to Physicians’ Treatment Recommendations: One Resource for Initiating a Negotiation of the Treatment Decision. Health Communication, 18, 1: 41-74
  27. Stivers T. (2006). Treatment decisions: negotiations between doctors and patients in acute care encounters. In: Heritage J. and Maynard D.W., editors, Communication in Medical Care: Interaction Between Primary Care Physicians and Patients. Cambridge: Cambridge University Press, 279-312
  28. Stivers T. (2007). Prescribing under pressure: Parent-physician conversations and antibiotics. New York, NY: Oxford University Press
  29. Tannen D., Wallat C. (1986). Medical Professionals and Parents: A Linguistic Analysis of Communication Across Contexts. Language in Society, 15, 3: 295- 311
  30. Todd A. (1989). Intimate adversaries: Cultural conflict between doctors and women patients. Philadelphia: University of Pennsylvania Press
  31. Waitzkin, (1991) The Politics of Medical Encounters: How Patients and Doctors Deal With Problems. New Haven, CT: Yale University Press
  32. Weber M. (1949). The Methodology of the Social Sciences. New York: Free Press. (translated by Shils E. and Finch H.)
  33. Whalen M., Zimmerman D. (1990). Describing Trouble: Practical Epistemology in Citizen Calls to the Police. Language in Society, 19, 4: 465-92
  34. Wittgenstein L. (1953). Philosophical Investigations. Oxford: Blackwell Publishing
  35. Wittgenstein L. (1958). The Blue and Brown Books: Preliminary Studies for the ‘Philosophical Investigations.’ Oxford: Blackwell Publishers
  36. Zimmerman D., Boden D. (1991). Structure-in-action: An introduction. In: D. Boden and D. Zimmerman, editors, Talk and Social Structure: Studies in Ethnomethodology and Conversation Analysis. Cambridge: Polity Press, 4-21
  37. Bales R.F. (1950). Interaction Process Analysis: A Method for the Study of Small Groups. Reading, MA: Addison-Wesley
  38. Beach Wayne A. (2005). Disclosing and responding to cancer “fears” during oncology interviews. Social Science & Medicine, 60: 893-910
  39. Boyd E. (1998). Bureaucratic authority in the ‘company of equals’: the interactional management of medical peer review. American Sociological Review 62 (2): 200-24
  40. Boyd E., Heritage J. (2006). Taking the history: questioning during comprehensive history taking. In: Heritage J. and Maynard D.W., editors, Communication in Medical Care: Interaction Between Primary Care Physicians and Patients. Cambridge: Cambridge University Press, 151-84
  41. Butler C.W., Danby S., Emmison M. and Thorpe K. (2010). Managing Medical Advice Seeking in Calls to Child Health Line. In: Pilnick A., Hindmarsh J., and Gill Teas V. a cura di, Communication in Healthcare Settings: Policy, Participation and New Technologies. Oxford, UK: Wiley-Blackwell (ch. 3)
  42. Cicourel A. (1983). Language and the structure of belief in medical communication. In: Fisher S. and Todd A., editors, The Social Organization of Doctor- Patient Communication. Washington, DC: Center for Applied Linguistics
  43. Hall J., Irish J., Roter D., Ehrlich C. and Miller L. (1994). Gender in medical encounters: An analysis of physician and patient communication in a primary care setting. Health Psychology 13, 5: 384-92
  44. Heath C. (1992). The delivery and reception of diagnosis in the general-practice consultation. In: Drew P. and Heritage J., editors, Talk at Work: Interaction in Institutional Settings. Cambridge: Cambridge University Press
  45. Heritage J. (1984). Garfinkel & Ethnomethodology. Cambridge, UK: Cambridge University Press
  46. Heritage J., Maynard D., editors (2006a). Communication in Medical Care: Interaction Between Primary Care Physicians and Patients. Cambridge: Cambridge University Press
  47. Heritage J., Maynard D. (2006b). Problems and prospects in the study of doctorpatient interaction: 30 years of research in primary care. Annual Review of Sociology. 32: 351-374
  48. Heritage J., Robinson J. (2006). Accounting for the visit: giving reasons for seeking medical care. In: Heritage J. and Maynard D.W., editors, Communication in Medical Care: Interaction Between Primary Care Physicians and Patients. Cambridge: Cambridge University Press, 48-85
  49. Hilbert R. (1981). Toward an improved understanding of “role”. Theory & Society, 10, 2: 207-226
  50. Hilbert R. (1984). The Acultural Dimensions of Chronic Pain: Flawed Reality Construction and the Problem of Meaning. Social Problems, 31, 4: 365- 378
  51. Hilbert R. (1992). The Classical Roots of Ethnomethodology. Chapel Hill, NC: Univ. of North Carolina Press
  52. Jefferson G. (1973). A case of precision timing in ordinary conversation: overlapped tag-positioned address terms in closing sequences. Semiotica, 9: 47-96
  53. Kinnell A.M., Maynard D.W. (1996). The Delivery and Receipt of Safer Sex Advice in Pre-test Counseling Sessions for HIV and AIDS. Journal of Contemporary Ethnography, 35: 405-437
  54. Lutfey K. (2004). On Assessment, Objectivity, and Interaction: The Case of Compliance With Medical Treatment Regimens. Social Psychology Quarterly 67, 4: 343-68
  55. Lutfey K., Maynard D.W. (1998). Bad News in Oncology: How Physician and Patient Talk about Death and Dying without Using those Words. Social Psychology Quarterly, 61, 4: 321-41
  56. Maynard D.W. (1991). Interaction and asymmetry in clinical discourse. American Journal of Sociology, 97, 2: 448-95
  57. Maynard D.W. (2003). Bad News, Good News: Conversational Order in Everyday Talk and Clinical Settings. Chicago: University of Chicago Press
  58. Maynard D.W. (2004). On predicating a diagnosis as an attribute of a person. Discourse Studies, 6: 53-76
  59. Maynard D.W., Wilson T. (1980). On the Reification of Social Structure. Current Perspectives in Social Theory, 1: 287-322
  60. McDermott R.P., Baugh J. (1992). A review of ‘Erving Goffman: Exploring the Interaction Order, by Paul Drew & Anthony Wootton, editors. Language, 68, 4: 833-836
  61. Mills C.W. (1940). Situated actions and vocabularies of motive. American Sociological Review, 5, 6: 904-913
  62. Mishler E.G. (1984). The discourse of medicine: dialectics of medical interviews. Norwood, N.J.: Ablex Publishing Corporation
  63. Paget M. (1983). On the work of talk: studies in misunderstanding. In: Fisher S. and Todd A., editors, The Social Organization of Doctor-Patient Communication. Washington, D.C.: Center for Applied Linguistics, 55-74
  64. Parry R. (2004). The interactional management of patients’ physical incompetence: A conversation analytic study of physiotherapy interactions. Sociology of Health and Illness, 26, 7: 976-1007
  65. Parsons T. (1951). The Social System. New York: Free Press
  66. Pilnick A. (2002). There are no rights and wrongs in these situations: Identifying interactional difficulties in genetic counseling. Sociology of Health and Illness, 24 1: 66-88
  67. Pilnick A., Coleman T. (2003). “I’ll give up smoking when you get me better.” Patients’ resistance to attempts to topicalize smoking in GP consultations. Social Science and Medicine, 57: 135-45
  68. Pilnick A., Hindmarsh J., Gill Teas V. (2009). Beyond ‘doctor and patient’ developments in the study of healthcare interactions. Sociology of Health and Illness, 31, 6: 787-802
  69. Pollner M. (1979). Explicative transaction: making and managing meaning in traffic court. In: Psathas G., editor, Everyday language: studies in ethnomethodology. New York: Irvington, pp. 229-55
  70. Pollner M. (1987). Mundane reason: reality in everyday and sociological discourse. Cambridge: Cambridge University Press
  71. Pomerantz A. (1984a). Pursuing a response. In: Atkinson M. and Heritage J., editors, Structures of Social Action: Studies in Conversation Analysis. Cambridge: Cambridge University Press, 152-163
  72. Pomerantz A. (1984b). Agreeing and disagreeing with assessments: some features of preferred/dispreferred turn shapes. In: Atkinson M. and Heritage J., editors, Structures of Social Action: Studies in Conversation Analysis. Cambridge: Cambridge University Press. Cambridge: Cambridge University Press, 57-101
  73. Pomerantz A., Gill Teas V., Denvir P. (2007) When patients present serious health conditions as unlikely: managing potentially conflicting issues and constraints. In: Hepburn A. and Wiggins S., editors, Discursive Research in Practice: New Approaches to Psychology and Interaction. Cambridge: Cambridge University Press, 127-46
  74. Rawls A. (2005). Garfinkel’s conception of time. Time & Society, 14, 2/3: 163-190
  75. Roter D. (2008). The Roter Interaction Analysis System Coding Manual. Baltimore, MD: Johns Hopkins University. www.rias.org/manual
  76. Roter D., Hall J. (1992). Doctors Talking with Patients/Patients Talking with Doctors: Improving Communication in Medical Visits. Westpost, CT: Auburn House
  77. Roter D., Larson S. (2002). The Roter Interaction Analysis System: Utility and flexibility for analysis of medical interactions. Patient Education and Counseling 42: 2443-51
  78. Sacks H. (1987). On the preferences for agreement and contiguity in sequences in conversation. In: Button G. and Lee J.R.E., editors, Talk and social organisation. Clevedon: Multilingual Matters, 54-69
  79. Sacks H. (1992). Lectures on Conversation, Vols. 1 & 2. Oxford: Blackwell Publishers
  80. Sacks H., Schegloff E.A., Jefferson G. (1974). A Simplest Systematics for the Organization of Turn-Taking for Conversation. Language, 50, 4, 1: 696-735
  81. Schegloff E.A. (1968). Sequencing in conversational openings. American Anthropologist, 70: 1075-95
  82. Schegloff E.A. (1982). Discourse as an interactional achievement: some uses of “uh huh” and other things that come between sentences. In: Tannen D., editor, Analyzing discourse: text and talk. Georgetown University Roundtable on Languages and Linguistics. Washington, D.C.: Georgetown University Press, 71-93
  83. Schegloff E.A. (1993). Reflections on quantification in the study of conversation. Research on Language and Social Interaction, 26: 99-128
  84. Schegloff E.A. (1997). Whose Text? Whose Context? Discourse & Society, 8, 2: 165-187

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Timothy Halkowski, Gill Virginia Teas, Analisi della Conversazione ed Etnometodologia: la centralità dell’Interazione in "SALUTE E SOCIETÀ" 1/2013, pp 183-198, DOI: 10.3280/SES2013-001015