Résumé :
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[BDSP. Notice produite par INIST-CNRS pR0xMv1h. Diffusion soumise à autorisation]. This paper examines how clinicians promote pediatric patients'symptom accounts at the beginning of visits in three pediatric tertiary care clinics at a university hospital in the United States : pain, gastroenterology and neurology. Quantitative and qualitative data were collected for 69 patient-parent pairs, including videotaped intake visits. Two forms of child account promotion, together with their corresponding distribution across clinics, were identified : (1) Epistemic prefaces were used to upgrade the patient's epistemic status and to establish the child as primary informant ; and, (2) non-focused questioning was used to permit children latitude in the formulation of symptoms and experiences. In general, epistemic prefaces were characteristic of the gastroenterology and neurology visits, while non-focused questioning was found overwhelmingly in the pain encounters.
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