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Although there is rising interest in medical discourse, there has not until now been a detailed analysis of doctor-patient interaction in a private practice setting. Nancy Ainsworth-Vaughn has been able to tape both male and female doctors in such a setting. On the basis of these interviews, she demonstrates that not just the doctor (as suggested in the previous literature) but patients as well wield considerable influence by actively employing verbal strategies to construct different types of power in medical discourse.
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Review:
This book is an important landmark in doctor-patient literature. In a unique way, the book combines empathy with the patients with an understanding of the doctors. (Britt-Louise Gunnarsson, Uppsala University Convener, Scientific Commission on Communications and the Professions, AILA)
About the Author:
Nancy Ainsworth-Vaughn is Associate Professor in the Department of English at Michigan State University. She is also the author of Current Topics in Language (1976).
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- PublisherOxford University Press
- Publication date1998
- ISBN 10 0195096061
- ISBN 13 9780195096064
- BindingHardcover
- Number of pages228
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CLAIMING POWER IN DOCTOR-PATIENT
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Book Description Hardcover. Condition: new. Hardcover. Nancy Ainsworth-Vaughn studied stories, topic control, "true" questions, and rhetorical questions in 101 medical encounters in US private-practice settings. In exceptionally lucid and accessible style, Ainsworth-Vaughn explains how power was claimed by and co-constructed for both patients and doctors (previous studies have focused upon doctors' power). The discourse varied along a continuum from interview-like talk to conversational talk. Six chapters are organizedaround data and include extended examples of actual talk in detailed transcription; four of these data-oriented chapters focus upon dynamic, moment-to-moment use of speech activities in emergingdiscourse, such as doctors' and patients' stories that co-constructed selves, and a patient's sexual rhetorical questions. Two more chapters offer non-statistical quantitative data on the frequency of questioning and sudden topic changes in relation to gender, diagnosis, and other factors. Contributing to discourse theory, Ainsworth-Vaughn significantly modifies previous definitions for topic transitions and rhetorical questions and discovers the role of storytelling in diagnosis. The finalchapter provides implications for physicians and medical educators. Nancy Ainsworth-Vaughn has been able to tape both male and female doctors in doctor-patient interaction. On the basis of these interviews, she demonstrates that not just the doctor but patients as well wield influence by actively employing verbal strategies to construct different types of power in medical discourse. This item is printed on demand. Shipping may be from multiple locations in the US or from the UK, depending on stock availability. Seller Inventory # 9780195096064
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