Confrontation and politeness strategies in physician-patient interactions
dc.contributor.author | Robins, Lynne S. | en_US |
dc.contributor.author | Wolf, Fredric M. | en_US |
dc.date.accessioned | 2006-04-07T20:30:01Z | |
dc.date.available | 2006-04-07T20:30:01Z | |
dc.date.issued | 1988 | en_US |
dc.identifier.citation | Robins, Lynne S., Wolf, Fredric M. (1988)."Confrontation and politeness strategies in physician-patient interactions." Social Science & Medicine 27(3): 217-221. <http://hdl.handle.net/2027.42/27511> | en_US |
dc.identifier.uri | http://www.sciencedirect.com/science/article/B6VBF-4663B7M-6C/2/d3c3f6ff723aef334beddfa6aad94d91 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/27511 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=3175705&dopt=citation | en_US |
dc.description.abstract | The therapeutic sucess of physician-patient interactions depends in large part on how physicians interpret and respond to patients' implicit and explicit messages. Using a hypothetical vignette, in which a patient refuses to comply with a recommended therapeutic regimen, we found that first-year medical students with no classroom training in medical interviewing implicity recognized that the situation called for face preserving or polite linguistic behavior. Ninety percent of them used culturally sanctioned politeness forms to repair the conversational breakdown depicted in the vignette. They responded to this clinical scenario, however, with linguistic behaviors borrowed from their everyday interactions, some of which were culturally appropriate, but not necessarily therapeutic. We suggest that students can learn to adapt their culturally appropriate behaviors and engage in therapeutic communication as physicians if they are given the necessary conceptual tools. We discuss how Brown and Levinson's theories of politeness and strategic language usage can (1) provide a framework for interpreting communication in general and physician-patient interaction in particular, (2) illuminate some of the problems inherent in doctor-patient encounters, and (3) be used prescriptively for teaching students and health professionals how to avoid some communication difficulties. | en_US |
dc.format.extent | 630483 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Elsevier | en_US |
dc.title | Confrontation and politeness strategies in physician-patient interactions | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbsecondlevel | Sociology | en_US |
dc.subject.hlbsecondlevel | Anthropology and Archaeology | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.subject.hlbtoplevel | Social Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Postgraduate Medicine and Health Professions Education, University of Michigan, G1208 Towsley Center, Ann Arbor, MI 48109-0201, U.S.A. | en_US |
dc.contributor.affiliationum | Department of Postgraduate Medicine and Health Professions Education, University of Michigan, G1208 Towsley Center, Ann Arbor, MI 48109-0201, U.S.A. | en_US |
dc.identifier.pmid | 3175705 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/27511/1/0000555.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1016/0277-9536(88)90124-4 | en_US |
dc.identifier.source | Social Science & Medicine | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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