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Verbal exchanges in medical interviews: Implications and innovations

Author

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  • Putnam, Samuel M.
  • Stiles, William B.

Abstract

Medical interviews (consultations) are composed of verbal exchanges, complementary categories of speech by patients and clinicians that tend to occur together. Patients and clinicians employ a joint repertoire of exchanges to accomplish their goals in the encounter. The seven principal exchanges are called Exposition, Closed Question, Checking, Direction, Inquiry, Explanation, and Instruction/ Contracts. We discuss how the verbal exchange structure contributes to understanding the confluence of patients' and clinicians' goals and expectations, clinicians' hypothetico-deductive method of reasoning during interviews, and establishing the patient-clinician relationship. We conclude by considering new exchanges that might make medical interviewing more effective and humane.

Suggested Citation

  • Putnam, Samuel M. & Stiles, William B., 1993. "Verbal exchanges in medical interviews: Implications and innovations," Social Science & Medicine, Elsevier, vol. 36(12), pages 1597-1604, June.
  • Handle: RePEc:eee:socmed:v:36:y:1993:i:12:p:1597-1604
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