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ja m_hm Patientenreaktionen auf prädiagnostische Mitteilungen

  • This article focuses on the qualitative and quantitative analysis of patients’ responses to different types of doctors’ prediagnostic statements. Prediagnostic statements document the doctors’ process of understanding in the on going interactive event and simultaneously move it to an intersubjective level within the boundaries of communicability, for example, in the case of problematic symptom patterns. Four types of prediagnostic statements will be distinguished: the preliminary, unspecific diagnosis, the establishing of a (causal) link, information about the findings, and diagnoses of exclusion. On the basis of 29 doctor-patient-conversations, 150 patients’ responses to prediagnostic statements are analyzed in their contextual organization. Although many patients’ responses turn out to be affirmatively minimal, there are differences both in the elaborateness and regarding the reference type, depending on the statements’ degree of certainty, the patients’ self-diagnoses as well as on influences of the interaction type’s asymmetrical properties. Both patients and doctors work together on establishing interactive and epistemic territories and pay attention to the maintenance of their self-images and their interaction relationship.

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Author:Marta Schöffler, Thomas Spranz-FogasyORCiDGND
Parent Title (German):Zeitschrift für Angewandte Linguistik
Publisher:de Gruyter
Place of publication:Berlin
Document Type:Article
Year of first Publication:2012
Tag:Arzt-Patient-Interaktion; Gesprächsanalyse; Interaktion
GND Keyword:Deutsch
Page Number:32
First Page:1
Last Page:32
Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
DDC classes:400 Sprache / 430 Deutsch
Open Access?:ja
BDSL-Classification:Sprache im 20. Jahrhundert. Gegenwartssprache
Leibniz-Classification:Sprache, Linguistik
Linguistics-Classification:Gesprächsforschung / Gesprochene Sprache
Licence (German):License LogoCreative Commons - Namensnennung-Nicht kommerziell-Keine Bearbeitung 3.0 Deutschland