Schmerzdifferenzierung
Eine gesprächsanalytische Untersuchung ärztlicher Erstgespräche an der Kopfschmerzambulanz
1st Edition
Published on 16. November 2011
Book
Hardback
278 pages
978-3-89971-852-2 (ISBN)
Description
This conversation-analytic study investigates anamnestic interviews with patients of an Austrian headache outpatient ward. Via a detailled analysis of transcipts and freeze frames from the videos it will be reconstructed step by step how pain is communicated and differentiated, which strategies patients and doctors use for this purpose and which problems and eventually difficult courses of interaction result from this.The analysis shows that patients on their own accord do not orient towards the medical categories. In the interviews, patients' subjective and life-world-based pain-differentiations have to be transformed into the professional medical diagnostic classifications. This proves to be a genuinely interactive task. As a result of the analyses, the concept of "Interaction based medicine" is suggested here - a concept which takes into account the joint interactive construction of illness meaning in the medical interviews and highlights the need for interaction-centered research into doctor-patient-communication.
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Persons
Author
Dr. Marlene Sator ist Wissenschaftliche Mitarbeiterin am Institut für Sprachwissenschaft der Universität Wien. Sie forscht und lehrt v.a. zu den Themen Gesprächsanalyse in Medizin-, Therapie- und Beratungskontexten und Interkulturelle Kommunikation. Außerdem führt sie Fortbildungen und Kommunikationstrainings für ÄrztInnen und anderes medizinisches Personal durch.
Series Editor
Dr. Florian Menz ist seit 1999 außerordentlicher Professor am Institut für Sprachwissenschaft der Universität Wien. Seine Arbeitsschwerpunkte sind Kommunikation in Institutionen, medizinische und Gesundheitskommunikation, Wirtschafts- und Organisationskommunikation, Kommunikation und Massenmedien sowie Sprache und Vorurteil.
Dr. Rudolf de Cillia ist a.o. Universitätsprofessor i. R. für Angewandte Sprachwissenschaft und Sprachlehrforschung am Institut für Sprachwissenschaft der Universität Wien.
Dr. Helmut Gruber ist Universitätsprofessor für Angewandte Sprachwissenschaft und Textwissenschaft am Institut für Sprachwissenschaft der Universität Wien.
Content
This conversation-analytic study investigates anamnestic interviews with patients of an Austrian headache outpatient ward. Via a detailled analysis of transcipts and freeze frames from the videos it will be reconstructed step by step how pain is communicated and differentiated, which strategies patients and doctors use for this purpose and which problems and eventually difficult courses of interaction result from this.The analysis shows that patients on their own accord do not orient towards the medical categories. In the interviews, patients' subjective and life-world-based pain-differentiations have to be transformed into the professional medical diagnostic classifications. This proves to be a genuinely interactive task. As a result of the analyses, the concept of "Interaction based medicine" is suggested here - a concept which takes into account the joint interactive construction of illness meaning in the medical interviews and highlights the need for interaction-centered research into doctor-patient-communication.>