The structure of patients'presenting concerns : th... Catalogue en ligne

Titre :	The structure of patients'presenting concerns : the completion relevance of current symptoms. (2005)
Auteurs :	ROBINSON (Jeffrey-D) : USA. Department of Communication. Rutgers University. New Brunswick. NJ. ; HERITAGE (John) : USA. Department of Sociology. University of California. Los Angeles. CA.
Type de document :	Article
Dans :	Social science and medicine (vol. 61, n° 2, 2005)
Pagination :	481-493
Langues:	Anglais
Mots-clés :	Homme ; Malade ; Symptôme ; Langage ; Relation médecin malade ; Etats Unis ; Amérique ; Amérique du Nord
Résumé :	[BDSP. Notice produite par INIST-CNRS TmAkR0xA. Diffusion soumise à autorisation]. This article uses conversation analysis to investigate the problem-presentation phase of 302 visits between primary-care physicians and patients with acute problems. It analyzes the social-interactional organization of problem presentation, focusing on how participants recognize and negotiate its completion. It argues that physicians and patients mutually orient to the presentation of current symptoms-that is, concrete symptoms presented as somehow being experienced in the here-and-now-as a locus of transition between the patient-controlled problem-presentation phase of the visit and the physician-controlled information-gathering phase. This is a resource for physicians to distinguish between complete and incomplete presentations, and for patients to manipulate this distinction.

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