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About the Book

Nancy Ainsworth-Vaughn studied stories, topic control, true questions, and rhetorical questions in 101 medical encounters in US private-practice settings. In exceptionally lucid and accessible style, Ainsworth-Vaughn explains how power was claimed by and co-constructed for both patients and doctors (previous studies have focused upon doctors' power). The discourse varied along a continuum from interview-like talk to conversational talk. Six chapters are organized around data and include extended examples of actual talk in detailed transcription; four of these data-oriented chapters focus upon dynamic, moment-to-moment use of speech activities in emerging discourse, such as doctors' and patients' stories that co-constructed selves, and a patient's sexual rhetorical questions. Two more chapters offer non-statistical quantitative data on the frequency of questioning and sudden topic changes in relation to gender, diagnosis, and other factors. Contributing to discourse theory,
Ainsworth-Vaughn significantly modifies previous definitions for topic transitions and rhetorical questions and discovers the role of storytelling in diagnosis. The final chapter provides implications for physicians and medical educators.


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Product Details
  • ISBN-13: 9780195096064
  • Publisher: Oxford University Press, USA
  • Publisher Imprint: Oxford University Press, USA
  • Height: 238 mm
  • No of Pages: 224
  • Series Title: Oxford Studies in Sociolinguistics
  • Weight: 545 gr
  • ISBN-10: 0195096061
  • Publisher Date: 25 Jun 1998
  • Binding: Hardback
  • Language: English
  • Returnable: N
  • Spine Width: 21 mm
  • Width: 162 mm


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