Providing Opportunities for Patients to Say More about Their Pain without Overtly Asking: A Conversation Analysis of Doctors Repeating Patient Answers in Palliative Care Pain Assessment
| Autor: | Marco Pino, Laura Jenkins, Ruth Parry |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
050101 languages & linguistics
Linguistics and Language medicine.medical_specialty Palliative care Communication 05 social sciences Intonation (linguistics) Language and Linguistics 03 medical and health sciences 0302 clinical medicine Conversation analysis Pain assessment Family medicine medicine 0501 psychology and cognitive sciences 030212 general & internal medicine Psychology |
| Zdroj: | Applied Linguistics. 42:990-1013 |
| ISSN: | 1477-450X 0142-6001 |
| Popis: | As the main symptom in palliative care, pain requires careful assessment. Repeating patient answers is one recommended communication technique for helping convey to patients that they have been heard, and to encourage them to say more. We examined 23 episodes where experienced doctors repeat patients' answers with mirrored rhythm and downward-final intonation, captured in pain assessments video-recorded in 37 consultations in a large UK hospice. Using conversation analysis, our aim was to determine whether or not the repeats invite additional talk, and if so, how they do so. Our findings reveal lexical and prosodic features of doctors’ repeated pain answers that signal completion of the sequence. At the same time, because the patient has greater epistemic access to their own pain, a repeat can also invite confirmation or disconfirmation. The patients in our data sometimes—but not always—respond to the repeat with confirmation or further talk. We conclude that repeating patient answers with mirrored rhythm and downward-final intonation provides a no-obligation opportunity for patient-led confirmation, disconfirmation, or expansion of pain descriptions, particularly when the pain matter is new, revised, or has been problematic to report. |
| Databáze: | OpenAIRE |
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