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Revealing moments: formulating understandings of adverse experiences in a health appraisal interview

Author

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  • Beach, W. A.
  • Dixson, C. N.

Abstract

Analysis of a health appraisal interview reveals how an interviewer employs to organize talk about a patient's medical history. When selected reportings by patient are paraphrased, a three-part is initiated: (1) interviewer's formulated understandings, (2) patient's confirmation, and (3) topic shift by interviewer. The reenactment of this interactional pattern promotes increasing attention to patient's adverse experiences as "root problems" underlying adult health status (e.g. molestation, obesity, depression). Creating an environment for patient's emergent disclosures is facilitated by displaying non-judgmental sensitivity to patient's stated concerns, soliciting alignment to particular reconstructions and avoidance of moving the interview forward prematurely and to issues not grounded in patient's illness circumstances. The identification and utilization of communication techniques for attending to patient's bio-psycho-social history is critical for refining understandings of empathic interviewing, enhancing diagnosis and treatment (e.g. referrals), decreasing patients' utilization of health care systems, and ultimately reducing costs for quality medical care.

Suggested Citation

  • Beach, W. A. & Dixson, C. N., 2001. "Revealing moments: formulating understandings of adverse experiences in a health appraisal interview," Social Science & Medicine, Elsevier, vol. 52(1), pages 25-44, January.
  • Handle: RePEc:eee:socmed:v:52:y:2001:i:1:p:25-44
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    Cited by:

    1. Pilnick, Alison & Coleman, Tim, 2006. "Death, depression and 'defensive expansion': Closing down smoking as an issue for discussion in GP consultations," Social Science & Medicine, Elsevier, vol. 62(10), pages 2500-2512, May.
    2. Landmark, Anne Marie Dalby & Svennevig, Jan & Gulbrandsen, Pål, 2016. "Negotiating treatment preferences: Physicians' formulations of patients' stance," Social Science & Medicine, Elsevier, vol. 149(C), pages 26-36.

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