Openings in follow-up cancer consultations: The ‘How are you?’ question revisited
Autor: | Anne Bannink, Manon van der Laaken |
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Přispěvatelé: | ACLC (FGw) |
Rok vydání: | 2019 |
Předmět: |
Anamnesis
050101 languages & linguistics Linguistics and Language Medical education Social Psychology Communication Discourse analysis 05 social sciences Cancer medicine.disease Gloss (optics) Language and Linguistics 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Anthropology medicine 0501 psychology and cognitive sciences Psychology |
Zdroj: | Discourse Studies, 22(2), 205-220. SAGE Publications Ltd |
ISSN: | 1461-7080 1461-4456 |
DOI: | 10.1177/1461445619893793 |
Popis: | The standard process for starting anamnesis in the follow-up cancer consultation is for the doctor to ask a ‘How are you?’ question. This question gives the patient the opportunity to give a gloss of their general condition and offer the first topic of discussion. Findings in earlier analyses of US and UK data in a broad array of medical contexts show that the question is ambiguous and hence patients may interpret it as social rather than medical. A discourse analysis of a corpus of 28 video-taped consultations shows that the ‘How are you?’ question in the context of Dutch follow-up cancer consultations is consistently interpreted by both doctor and patients as a holistic medical question, making relevant a – frequently complex and nuanced – medically oriented response. We suggest that this difference may have to do with the interactional norms of hospital visits in the Netherlands, and with the specific contextual parameters of return visits, more specifically with follow-up cancer consultations, which affect the way the HAY question is placed, intended and understood. |
Databáze: | OpenAIRE |
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