Diagnosis in healthcare interaction

Question 1

Define ‘online commentary’

Answer 1

Doctors use a running commentary - connects to final diagnosis. Stops awkward silences and anxiety

Question 2

Explain features of online commentary

Answer 2

1. simultaneous with physical examination
2. mainly used to present non-serious signs. DOWNGRADED. e.g. that’s a bit red
3. absent signs are evidentially presented
4. can be presented as reports or assessments
5. online commentaries are delivered by docs, received by pats

Question 3

Explain the ‘perspective display series’ (Maynard)

Answer 3

asking people for their views on something, and then presenting yours, which will often be shaped by theirs

Question 4

‘perspective display series’ in ordinary talk

Answer 4

Question > answer > then a follow up

Occurs a lot in delicate situations, especially when doctors must give negative diagnosis

Question 5

‘perspective display series’ in clinical interaction

Answer 5

Co-implicate = Doctor asks the mother what her opinion is, tries to manoeuvre her into first position so that he may agree – eases the final diagnosis responsibility

recipient of the news that delivers the bad news!!