| An interactional approach to conceptualising small talk in medical interactions. | |
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MedLine Citation:
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PMID: 21545445 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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In medical interactions, it may seem straightforward to identify 'small talk' as casual or social talk superfluous to the institutional work of dealing with patients' medical concerns. Such a broad characterisation is, however, extremely difficult to apply to actual talk, and more specificity is necessary to pursue analyses of how small talk is produced and what it achieves for participants in medical interactions. We offer an approach to delineating a subgenre of small talk called topicalised small talk (TST), derived on the basis of conversation analytically-informed analyses of routine consultations involving orthopaedic surgeons and older patients. TST is a line of talk that is referentially independent from their institutional identities as patients or surgeons, oriented instead to an aspect of the personal biography of one (or both), or to some neutral topic available to interactants in any setting (e.g. weather). Importantly, TST is an achievement of both patient and surgeon in that generation and pursuit of topic is mutually accomplished. In an exploratory but systematic analysis, when this approach was applied to a purposive sample of surgeon-patient interactions, TST was much more prevalent in visits with White than African American patients. Accounts for possible ethnic differences in TST are suggested. |
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Authors:
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Pamela L Hudak; Douglas W Maynard |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Sociology of health & illness Volume: 33 ISSN: 1467-9566 ISO Abbreviation: Sociol Health Illn Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-05-06 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8205036 Medline TA: Sociol Health Illn Country: England |
Other Details:
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Languages: eng Pagination: 634-53 Citation Subset: IM |
Copyright Information:
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© 2011 The Authors. Sociology of Health & Illness © 2011 Foundation for the Sociology of Health & Illness/Blackwell Publishing Ltd. |
Affiliation:
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Department of Medicine, St Michael's Hospital, Toronto, Canada Department of Sociology, University of Wisconsin, Madison, United States. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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