The use of ‘my side telling’ during history taking in psychiatric consultations

2021 ◽  
pp. 146144562110016
Author(s):  
Xueli Yao
Keyword(s):  
Empirical Study ◽  
Conversation Analysis ◽  
History Taking ◽  
Patients Rights ◽  
Outpatient Visits ◽  
Psychiatric Outpatient ◽  
Audio Recordings ◽  
Sense Of Reality ◽  
Psychiatric Conditions

Using the method of conversation analysis, this article examines an interactional practice through which psychiatric practitioners exhibit knowledge about their patients’ problems, symptoms, or experiences in psychiatric outpatient consultations. This practice is referred to as ‘my side telling’. The data were from audio recordings of 55 psychiatric outpatient visits to four psychiatrists in China. In the data, the psychiatrists employ ‘my side telling’ within larger sequences of talk where psychiatrists solicit their patients to elaborate on their problems or experiences, treating prior answers of the patients as unsatisfactory. Based on empirical study of the data, it is argued that ‘my side telling’ in psychiatry is not merely used to elicit information. Rather, through facing patients with facts or evidence which the psychiatrists got from other sources, it acquires a confrontative function and may be employed as a tool to test the patients’ sense of reality and willingness to talk about their experiences. Thus, it is shown to work towards assessing patients for possible psychiatric conditions and forming diagnostic hypotheses. I further argue that ‘my side telling’ allows the psychiatrists to achieve a balance between respecting the patients’ rights to report their own experiences and influencing the directions in which the information is reported.

scholarly journals An Empirical Study on the Nature of the Verbal Responses of Humanist Chaplains

Religions ◽  
2021 ◽  
Vol 12 (12) ◽  
pp. 1080
Author(s):  
Jeroen de Vos ◽  
Arjan W. Braam
Keyword(s):  
The Netherlands ◽  
Empirical Study ◽  
Conversation Analysis ◽  
General Hospital ◽  
Empirical Research ◽  
Spiritual Care ◽  
Verbal Responses ◽  
The Past ◽  
Audio Recordings ◽  
Insight Into

There has been a limited amount of empirical research conducted in the past on how chaplains, and humanist chaplains in particular, actually interact with their clients during conversations as a part of spiritual care and counselling. The aim of the current study was to gain insight into the extent to which the verbal responses of humanist chaplains corresponded to Rogers’ nondirective approach during conversations with clients. Rogers’ approach has been commonly embraced since the beginning of the professionalization of humanist chaplains in the Netherlands. The study focused on humanist chaplains working at a general hospital in the Netherlands. Ten humanist chaplains took part in the study by audio recording their conversations with clients. The audio recordings were transcribed and analysed, and the verbal responses of humanist chaplains were compared to Rogers’ approach. Subsequently, the verbal responses were analysed via conversation analysis, which also provided insight into how the humanist chaplains actually conversed with clients. Most of the verbal responses (73%) were consistent with Rogers’ nondirective approach, though the ways in which some of the verbal responses were expressed were different; they were more compassionate and comforting. The remaining 27% of the verbal responses were directive and did not correspond to Rogers’ approach. The study shows that, compared to Rogers’ nondirective approach, the approach of the humanist chaplains was more direct and comforting.

scholarly journals Manual Physical Therapists’ Use of Biopsychosocial History Taking in the Management of Patients with Back or Neck Pain in Clinical Practice

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Rob A. B. Oostendorp ◽  
Hans Elvers ◽  
Emilia Mikołajewska ◽  
Marjan Laekeman ◽  
Emiel van Trijffel ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Neck Pain ◽  
Physical Therapists ◽  
Social Dimension ◽  
History Taking ◽  
Social Dimensions ◽  
Process Indicators ◽  
The Social ◽  
Audio Recordings ◽  
And Behavior

Objective.To develop and evaluate process indicators relevant to biopsychosocial history taking in patients with chronic back and neck pain.Methods.The SCEBS method, covering the Somatic, Psychological (Cognition, Emotion, and Behavior), and Social dimensions of chronic pain, was used to evaluate biopsychosocial history taking by manual physical therapists (MPTs). In Phase I, process indicators were developed while in Phase II indicators were tested in practice.Results.Literature-based recommendations were transformed into 51 process indicators. Twenty MTPs contributed 108 patient audio recordings. History taking was excellent (98.3%) for the Somatic dimension, very inadequate for Cognition (43.1%) and Behavior (38.3%), weak (27.8%) for Emotion, and low (18.2%) for the Social dimension. MTPs estimated their coverage of the Somatic dimension as excellent (100%), as adequate for Cognition, Emotion, and Behavior (60.1%), and as very inadequate for the Social dimension (39.8%).Conclusion.MTPs perform screening for musculoskeletal pain mainly through the use of somatic dimension of (chronic) pain. Psychological and social dimensions of chronic pain were inadequately covered by MPTs. Furthermore, a substantial discrepancy between actual and self-estimated use of biopsychosocial history taking was noted. We strongly recommend full implementation of the SCEBS method in educational programs in manual physical therapy.

Transcription for Conversation Analysis

2018 ◽  
Author(s):  
Galina B. Bolden ◽  
Alexa Hepburn
Keyword(s):  
Conversation Analysis ◽  
Social Action ◽  
Interaction Analysis ◽  
A Priori ◽  
Orthographic Representation ◽  
Transcription System ◽  
Social Actions ◽  
Audio Recordings ◽  
The Rich ◽  
The 1960S

The transcription system for Conversation Analysis (CA) was originally developed by Gail Jefferson, one of the founders of CA, in the 1960s. Jefferson’s transcription conventions aim to represent on paper what had been captured in field audio recordings in ways that would preserve and bring to light the interactionally relevant elements of the recorded talk. Conversation analytic research has demonstrated that various features of the delivery of talk and other bodily conduct are basic to how interlocutors carry out social actions in interaction with others. Without the CA transcription system it is impossible to identify these features, as it represents talk and other conduct in ways that capture the rich subtlety of their delivery. Jefferson’s system of conventions evolved side by side with, and was informed by the results of, interaction analysis, which has shown there are many significant aspects of talk that interactants treat as relevant but that are entirely missed in simple orthographic representation. Conversation analysts’ insistence on capturing not only what is said but also details of how something is said, including interactants’ visible behaviors, is based on the assumption that “no order of detail in interaction can be dismissed a priori as disorderly, accidental, or irrelevant” (according to John Heritage in 1984). Conversation analytic transcripts need to be detailed enough to facilitate the analyst’s quest to discover and describe orderly practices of social action in interaction.

Theorizing power: Weber, Parsons, Foucault and neostructuralism

2001 ◽  
Vol 40 (2) ◽  
pp. 241-264 ◽  
Author(s):  
Risto Heiskala
Keyword(s):  
Empirical Study ◽  
Conversation Analysis ◽  
Historical Sociology ◽  
Structural Approach ◽  
Practical Issue ◽  
Phenomenological Sociology ◽  
Case Comparison ◽  
Level 3 ◽  
Level Of Analysis ◽  
Selection Of

The article is an attempt to develop a synthetic conception of power based on Weber's, Parsons's and Foucault's writings. The aim is, first, to build a bridge between the so-called resource theories of power (Weber, Parsons) and the structural approach (Foucault) and, second, to do this in the form of a conception which would be usable on both macro- and micro-levels at the same time. Four theories are discussed: (1) the distributive approach (Weber); (2) the collective approach (Parsons); (3) the structural approach (Foucault); and (4) the neostructuralist approach (this article). It is argued that these approaches can be ordered on a scale on which the complexity of analysis increases as one moves from (1) to (4), and that the selection of an appropriate level of analysis in an empirical study is a practical issue relative to the aim of the study. The types of analyses characteristic of the more complex levels are illustrated by a discussion of the problem posed by Big Case Comparison in historical sociology (level 3) and everyday conversation (level 4), including comments on phenomenological sociology and conversation analysis.

scholarly journals Body Part Highlighting: Exploring two types of embodied practices in two sub-types of showing sequences in video-mediated consultations

2020 ◽  
Vol 3 (3) ◽  
Author(s):  
Brian Lystgaard Due ◽  
Simon Bierring Lange
Keyword(s):  
Healthcare Professional ◽  
Conversation Analysis ◽  
Initial Phase ◽  
Single Case ◽  
Body Part ◽  
History Taking ◽  
Healthcare Settings ◽  
Asking Questions ◽  
Common Understanding ◽  
Direct Body

Consultations in healthcare settings involve an initial phase of “history-taking”, during which the healthcare professional examines the client for symptoms by asking questions, making the client show symptoms on his or her own body, and performing bodily examinations. But how can bodily symptoms be identified when the interaction is video-mediated and sensory access is limited? One key resource here is “body showings”. However, research suggests that video-mediated teleconsultations reduce body showings due to both technical difficulties and sensory obstruction. In this paper, we provide a contrary case that shows two types of practices employed for successful history-taking through body-part showings. Based on an analysis of an “evocative showing sequence” (Licoppe, 2017), we present two types of gestural highlighting practices, via two types of showing sub-sequences: 1) “mimicable body part highlighting”, which occurs in a sequence of “adapting-body-to-frame”; and 2) “direct body part highlighting”, which occurs in a sequence of “adapting-frame-to-body”. The paper uses a single case to discuss how gestures work in a video-mediated context and how sensory judgements are not just a property of the healthcare professional, but are distributed to clients who are able to creatively adapt to situated contingencies in order to accomplish common understanding about the symptoms. The data consist of video-recorded, video-mediated physiotherapy consultations in Denmark, analysed using ethnomethodological conversation analysis (EMCA). The paper contributes to EMCA research on mediated interaction and embodied, gestural and sensorial practices.

Shifting of “expert” and “novice” roles between/within two languages: Language socialization, identity, and epistemics in family dinnertime conversations

Multilingua ◽  
2018 ◽  
Vol 37 (1) ◽  
pp. 83-117 ◽  
Author(s):  
Noriko Takei ◽  
Matthew Burdelski
Keyword(s):  
Conversation Analysis ◽  
Language Socialization ◽  
The Self ◽  
Epistemic Status ◽  
Immigrant Family ◽  
Communicative Practices ◽  
Audio Recordings ◽  
Living Together ◽  
Expert And Novice ◽  
Epistemic Stances

AbstractThis article explores the construction and shifting of “expert” and “novice” roles between and within two languages (Japanese and English). Taking a language socialization perspective while drawing upon insights from conversation analysis on epistemics in interaction, it analyzes seven hours of audio recordings of dinnertime talk in a Japanese-speaking immigrant family with a university-aged adult daughter living together in Australia. The analysis identifies several key communicative practices, such as word definitions and repair, which participants deploy in displaying epistemic stances that constitute the self and family members as possessing relatively more or less knowledge and expertise (epistemic status) with respect to these two languages. The findings reveal the dynamics of language socialization in a bilingual/immigrant setting in which the relative roles of expert and novice emerge, shift, and are negotiated in interaction. In conclusion, the findings are discussed in relation to language expertise, power and hierarchy, agency and bidirectional language socialization.

scholarly journals The multimodal enactment of deontic and epistemic authority in Indian meetings

Pragmatics ◽  
2018 ◽  
Vol 28 (3) ◽  
pp. 333-360 ◽  
Author(s):  
Jonathan Clifton ◽  
Dorien Van De Mieroop ◽  
Prachee Sehgal ◽  
Aneet
Keyword(s):  
Empirical Study ◽  
Conversation Analysis ◽  
Research Methodology ◽  
Epistemic Authority ◽  
Naturally Occurring ◽  
Faculty Meetings ◽  
Using Data ◽  
Organizational Literature

Abstract Authority is a much discussed topic in organizational literature, but its in situ enactment is little investigated. Using the notions of deontic and epistemic authority and using multimodal conversation analysis as a research methodology, the purpose of this paper is to provide an empirical study of authority-in-action. We particularly focus on both sequences of talk and the multimodal resources that are mobilised to ‘do’ authority. Furthermore, as research from non-Western contexts remains rare, we complement insights into authority enactment based on ‘Western’ data by using data that is drawn from a corpus of naturally-occurring video-recorded faculty meetings at an Indian University. Findings indicate that the doing of authority can be made visible by explicating participants’ orientation to their respective deontic and epistemic rights and their invocation of particular identities, which are accomplished by means of a complex intertwining of verbal and non-verbal resources.

scholarly journals Exploring teachers’ and learners’ overlapped turns in the language classroom: Implications for classroom interactional competence

2019 ◽  
Vol 9 (4) ◽  
pp. 581-606
Author(s):  
Marco Octavio Cancino Avila
Keyword(s):  
Foreign Language ◽  
Conversation Analysis ◽  
Classroom Discourse ◽  
Classroom Interaction ◽  
Interactional Competence ◽  
Language Choices ◽  
Opportunities For Learning ◽  
Language Classroom ◽  
Audio Recordings ◽  
Interactional Features

The language choices that teachers make in the language classroom have been found to influence the opportunities for learning given to learners (Seedhouse, 2004; Walsh, 2012; Waring, 2009, 2011). The present study expands on research addressing learner-initiated contributions (Garton, 2012; Jacknick, 2011; Waring, Reddington, & Tadic, 2016; Yataganbaba & Yıldırım, 2016) by demonstrating that opportunities for participation and learning can be promoted when teachers allow learners to expand and finish their overlapped turns. Audio recordings of lessons portraying language classroom interaction from three teachers in an adult foreign language classroom (EFL) setting were analyzed and discussed through conversation analysis (CA) methodology. Findings suggest that when teachers are able to navigate overlapping talk in such a way that provides interactional space for learners to complete their contributions, they demonstrate classroom interactional competence (Sert, 2015; Walsh, 2006). The present study contributes to the literature by addressing interactional features that increase interactional space, and an approach to teacher and learner talk that highlights CA’s methodological advantages in capturing the interactional nuances of classroom discourse.

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