Response expansion as a practice for raising a concern during regular prenatal checkups
Issue: Vol 8 No. 3 (2011)
Journal: Communication & Medicine
Subject Areas: Healthcare Communication Linguistics
DOI: 10.1558/cam.v8i3.247
Abstract:
The present study addresses the issue of how pregnant women raise possible concerns in regular prenatal checkups. Within this context, the reason for the visit is not a particular problem which a pregnant woman has and would be supposed to reveal during the visit. Rather, the reason for the visit is transparent from the outset, that is, to have a prenatal checkup. However, pregnant women may have various problems that they wish to discuss with the healthcare provider. Indeed, there are various practices which pregnant women can employ to present their possible problems. In this study, I focus on a set of such practices: pregnant women expanding their responses to healthcare providers' routine questions to take initiative in presenting problems. Drawing on a corpus of 42 video-recorded regular prenatal checkups in Japan, I will elucidate structural features of the practices and their consequences.
Author: Aug Nishizaka
References :
Atkinson, J. M. and Drew, P. (1979). Order in Court. Atlantic Highlands, NJ: Humanities Press.
Boyd, E. and Heritage, J. (2006). Taking the patient’s medical history: Questioning during comprehensive history taking. In J. Heritage and D. W. Maynard (eds) Communication in Medical Care: Interaction between Primary Care Physicians and Patients 151–184. Cambridge: Cambridge University Press.
Byrne, P. S. and Long, B. E. L. (1976). Doctors Talking to Patients: A Study of the Verbal Behaviour of General Practitioners Consulting in their Surgeries. London: H.M.S.O.
Clayman, S. and Heritage, J. (2002). The News Interview: Journalists and Public Figures on the Air. Cambridge: Cambridge University Press. http://dx.doi.org/10.1017/CBO9780511613623
Drew, P. (2001). Spotlight on the patient. Text 21 (1/2): 261–268.
Drew, P. (2003). Precision and exaggeration in interaction. American Sociological Review 68: 917–938. http://dx.doi.org/10.2307/1519751
Gill, V. T. (1998). Doing attributions in medical interaction: Patients’ explanations for illness and doctors’ responses. Social Psychology Quarterly 61: 342–360. http://dx.doi.org/10.2307/2787034
Hayashi, M. (2003). Joint Utterance Construction in Japanese Conversation. Amsterdam: John Benjamin.
Hayashi, M. (2010). An overview of the question–response system in Japanese. Journal of Pragmatics 42: 2685–2702. http://dx.doi.org/10.1016/j.pragma.2010.04.006
Heritage, J. (1984). Garfinkel and Ethnomethodology. Cambridge: Polity Press.
Heritage, J. (2002). Ad hoc inquiries: Two preferences in the design of ‘routine’ questions in an open context. In D. W. Maynard, H. Houtkoop-Steenstra, N. K. Schaeffer and H. van der Zouwen (eds) Standardization and Tacit Knowledge: Interaction and Practice in the Survey Interview 313–333. New York: Wiley Interscience.
Heritage, J. and Clayman, S. (2010). Talk in Action: Interactions, Identities, and Institutions. Oxford: Wiley-Blackwell.
Heritage, J. and Maynard, D. W. (2006). Communication in Medical Care: Interaction between Primary Care Physicians and Patients. Cambridge: Cambridge University Press. http://dx.doi.org/10.1017/CBO9780511607172
Heritage, J. and Robinson, J. D. (2006). Accounting for the visit: Giving reasons for seeking medical care. In J. Heritage and D. Maynard (eds) Communication in Medical Care: Interactions between Primary Care Physicians and Patients 48–85. Cambridge: Cambridge University Press.
Heritage, J., Robinson, J. D., Elliot, M. N., Beckett, M. and Wilkes, M. (2007). Reducing patients’ unmet concerns in primary care: The difference one word can make. Journal of General Internal Medicine 22: 1429–1423. http://dx.doi.org/10.1007/s11606-007-0279-0
Jefferson, G. (2004). Glossary of transcript symbols with an introduction. In G. H. Lerner (ed.) Conversation Analysis: Studies from the First Generation 13–23. Amsterdam: John Benjamins.
Lerner, G. H. (1991). On the syntax of sentences in progress. Language in Society 20: 441–458. http://dx.doi.org/10.1017/S0047404500016572
Lerner, G. H. (1996). On the ‘semi-permeable’ character of grammatical units in conversation: Conditional entry into the turn space of another speaker. In E. Ochs, E. A. Schegloff and S. Thompson (eds) Interaction and Grammar 238–276. Cambridge: Cambridge University Press.
Lynch, M. (1985). Art and Artifact in Laboratory Science. London: Routledge & Kegan Paul.
Lynch, M. (1988). The externalized retina. Human Studies 11 (2/3): 201–234.
Nishizaka, A. (2010). Self-initiated problem presentation in prenatal checkups: Its placement and construction. Research on Language and Social Interaction 43 (3): 283–313. http://dx.doi.org/10.1080/08351813.2010.497992
Nishizaka, A. (2011). Touch without vision: Referential practice in a non-technological environment. Journal of Pragmatics 43: 504–520. http://dx.doi.org/10.1016/j.pragma.2009.07.015
Raymond, G. (2003). Grammar and social organization: Yes/no interrogatives and the structure of responding. American Sociological Review 68: 939–967. http://dx.doi.org/10.2307/1519752
Robinson, J. D. (2003). An interactional structure of medical activities during acute visits and its implications for patients’ participation. Health Communication 15 (1): 27–59. http://dx.doi.org/10.1207/S15327027HC1501_2
Robinson, J. D. (2006). Soliciting patients’ presenting concerns. In J. Heritage and D. W. Maynard (eds) Communication in Medical Care: Interaction between Primary Care Physicians and Patients 22–47. Cambridge: Cambridge University Press.
Robinson, J. and Heritage, J. (2006a). Physicians’ opening questions and patients’ satisfaction. Patient Education and Counseling 60: 279–285. http://dx.doi.org/10.1016/j.pec.2005.11.009
Robinson, J. and Heritage, J. (2006b). The structure of patients’ presenting concerns: The completion relevance of current symptoms. Social Science & Medicine 61 (2): 481–493. http://dx.doi.org/10.1016/j.socscimed.2004.12.004
Sacks, H. (1992). Lectures on Conversation. 2 vols. Oxford: Blackwell.
Sacks, H., Schegloff, E. A. and Jefferson, G. (1974). A simplest systematics for the organization of turn-taking for conversation. Language 50 (4): 696–735. http://dx.doi.org/10.2307/412243
Schegloff, E. A. (1982). Discourse as an interactional achievement: Some uses of ‘uh huh’ and other things that come between sentences. In D. Tannen (ed.) Georgetown University Roundtable on Languages and Linguistics l981, Analyzing Discourse: Text and Talk 7l–93. Washington, DC: Georgetown University Press.
Schegloff, E. A. (2007). Sequence Organization in Interaction. Cambridge: Cambridge University Press. http://dx.doi.org/10.1017/CBO9780511791208
Schegloff, E. A., Jefferson, G. and Sacks, H. (1977). The preference for self-correction in the organization of repair in conversation. Language 53 (2): 361–382. http://dx.doi.org/10.2307/413107
Stivers, T. (2006). Presenting the problem in pediatric encounters: ‘Symptoms only’ versus ‘candidate diagnosis’ presentations. Health Commumication 14 (3): 299–338. http://dx.doi.org/10.1207/S15327027HC1403_2
Stivers, T. and Heritage, J. (2001). Breaking the sequential mold: Answering ‘more than the question’ during comprehensive history taking. Text 21 (1/2): 151–185.
Stivers, T. and Hayashi, M. (2010). Transformative answers: One way to resist a question’s constraints. Language in Society 39: 1–25. http://dx.doi.org/10.1017/S0047404509990637
Sudnow, D. (1965). Normal crimes: Sociological features of a penal code in a public defender’s office. Social Problems 12: 255–276. http://dx.doi.org/10.1525/sp.1965.12.3.03a00010
Terasaki, A. K. (2004). Pre-announcement sequences in conversation. In G. H. Lerner (ed.) Conversation Analysis: Studies from the First Generation 171–224. Amsterdam: John Benjamins.